Additional Dwelling Application Form - Thompson-Nicola Regional District (Page 2 of 2) in pdf

Additional Dwelling Application Form - Thompson-Nicola Regional District Page 2

LEGAL DESCRIPTION AND LAND USE

Legal Description:

PID:

Parcel Size:

Civic Address:

Describe the existing use of the subject property and all buildings:

Describe the reason for the application:

Provide the name(s) of the person(s) who will occupy the second dwelling:

APPLICATION CHECKLIST

The application must be accompanied by the following:

Site Plan, including the legal description of the property, its boundaries and dimensions, and the size and

location of existing and proposed buildings;

Current State of Title Certificate;

Copies of all covenants and easements registered on the title;

BC Assessment notice verifying farm land classification and status; and

Any other information regarding the proposed dwelling as requested by Planning Services.

ADDITIONAL INFORMATION

For a complete description of documents that must be submitted as part of your application, please refer to

the attached guide. ** Note: a suitably worded s. 219 Covenant must be prepared and registered at the

applicant’s cost prior to approval of an additional dwelling.

DECLARATION

I/We, the undersigned, hereby certify that the information provided herein is complete and, to the best of my

(our) knowledge, a true statement of the facts related to this application, and that it meets the requirements of

Section 3.6 of TNRD Zoning Bylaw No. 2400.

Signature of Owner/Agent

___/___/___

Signature of Owner/Agent

dd mm yy

Additional Dwelling Application Form, Thompson-Nicola Regional District

Page 2 of 2

Additional Dwelling Application Form - Thompson-Nicola Regional District Page 2