Application For Minor Variance To The Town Of Ajax Sign By-Law Page 3

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3.
Affidavit and Sworn Declaration of Owner or Application
I hereby certify that all statements contained within this application are true and agree to allow Town staff reasonable access to the property, and I make
this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect under oath and by virtue of the Canada
Evidence Act.
Declared before me at the _________________________ of _________________________
in the _________________________ of __________________________________________
this ______________________ day of ________________________________, 20________
________________________________________
Commissioner of Oaths
Signature of Owner or Applicant
Date
Personal information contained on this form is collected under the authority of the Planning Act, RSO 1990, c. P13 and the applicable implementing
Ontario Regulation, and will be used to evaluate the Application for Minor Variance to the Town of Ajax Sign By-law. Questions about the collection of
personal information should be directed to the Records Manager/FOI Coordinator, 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9, (905) 683-4550,
ext. 3343.
REQUIRED DRAWINGS
Drawing ‘A’ – Site Plan
Applicant’s name and address;
-
Owner’s name and address
-
-
Location of proposed sign on the site;
-
Title and number of drawings;
-
Dimensions (metric and imperial acceptable);
-
Directional symbol/north arrow
Drawing ‘B’ – Construction Drawing
-
Type of material to be used;
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Colours of the sign materials;
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Specification details (if necessary);
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Details of lettering and any accent material (if proposed).
Drawing ‘C’ – Elevation Drawing
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Detail sketch of the proposed sign;
-
Dimensions of the proposed sign.
Note: Some of the above drawings may be combined, depending on the complexity and scale of the sign.
If you have any comments on the format or content of this application form, please complete a Customer Feedback Form,
which is available at Planning and Development Services, Town of Ajax.
Page 3 of 3
FORM: PLD-032
REVISED: 11/11/28

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