COMMITTEE OF ADJUSTMENT AGENDA

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COMMITTEE OF ADJUSTMENT AGENDA August 29, 2017 1:00 PM Page 1. CALL TO ORDER 2. ADOPTION OF MINUTES 2.1 July 25, 2017 3. DECLARATION OF INTEREST 4. BUSINESS 4.1. NEW APPLICATIONS 2-20 4.1.1 A-2017-024 - Snelling - 52 Hill Island Heights 21-42 4.1.2 A-2017-025 - Bannister/Lefrense - 821 Klon Lane 4.2. OTHER BUSINESS 4.2.1 Approval of Expenses 5. ADJOURNMENT Page 1 of 42

Township of Leeds and the Thousand Islands Planning and Development Department 1233 Prince Street, P.O. Box 280 Lansdowne, ON K0E 1L0 Telephone: 613-659-2415; 866-220-2327 Fax: 613-659-3619 Email: amanda@townshipleeds.on.ca NOTICE OF COMMITTEE OF ADJUSTMENT HEARING MINOR VARIANCE APPLICATION (Section 45 of the Planning Act) DATE: Tuesday, August 29, 2017 TIME OF HEARING: 1:00 p.m. LOCATION: Council Chamber, TLTI Municipal Office 1233 Prince Street, Lansdowne, ON K0E 1L0 TAKE NOTICE that the Committee of Adjustment for the Corporation of the Township of Leeds and the Thousand Islands is in receipt of the following application for Minor Variance to Zoning By-Law No. 07-079. A Public Hearing will be held on the application at the meeting noted above. Application No.: A-2017-024 Applicant/Agent: Bradford & Kerlyn Snelling Location: 52 Hill Island Heights Ward: Front of Leeds and Lansdowne Official Plan Designation: Rural (within the 1000 Islands Special Policy Area) CRCA Mapping indicates Flood Plain Zoning Designation: Island Residential Property Dimensions: Lot Size: 0.13 hectares (0.33 acre) Frontage: 22.82 metres (74.9 feet) Depth: 56.29 metres (184.7 feet) Subject Property KEY MAP: property subject to application for Minor Variance shown in red outline. PURPOSE OF APPLICATION The owner of the subject property wishes to remove an existing 28.34 square metre (305.0 square foot) fixed and floating dock and construct a 65.1 square metre (700.7 square foot) dock (fixed or floating type of dock to be determined). The dock requires the following variances: www.leeds1000islands.ca Page 2 of 42 Page 1 of 3

REQUESTED VARIANCE(S) TO THE ZONING BY-LAW Marine Facilities Section 3.18(a)(i) Relief of 25.04 square metres (269.5 square feet) from the required 40.06 square metre (431.2 square foot) area for a marine facility [island lot between 0.1 hectare (0.25 acres) and 1.0 hectare (2.47 acres)] to allow for 65.1 square metres (700.9 square feet) of marine facilities. THE COMMITTEE OF ADJUSTMENT The Committee of Adjustment is an independent body appointed by Council, under authority granted by the Province through the Planning Act. The Committee operates and follows procedures under the Statutory Powers and Procedure Act and various Provincial Regulations. The role of the Committee is to consider applications for minor variance and approve such applications having been satisfied that: the general intent and purpose of the Official Plan is maintained; the general intent and purpose of the Township s Zoning By-Law is maintained; the variance requested is minor; and the proposal is appropriate for the development of the land and/or building. MAKE YOUR VIEWS KNOWN The Committee of Adjustment will make a decision on the application on the basis of information or evidence received before and during the hearing. This notice has been mailed to you, as required by the Planning Act, to ensure that as an interested party you may make your views known on the above application. You may express your support or opposition to the proposed variance by either attending the above public hearing or sending a letter by mail, fax or hand-delivery prior to the hearing date. Any correspondence received will become part of the public record. VIEW THE APPLICATION FILE Additional information concerning the Minor Variance Application is available from the Planning and Development Department at 1233 Prince Street, Lansdowne, during normal office hours. RECEIVE A COPY OF THE COMMITTEE S DECISION Generally, the Committee of Adjustment will announce its recommendations and/or decision on the application at the Public Hearing. To receive a copy of the Committee s decision, you must make a written request to the Committee of Adjustment c/o Township of Leeds and the Thousand Islands, 1233 Prince Street, PO Box 280, Lansdowne, Ontario, K0E 1L0. For more information, please contact our office by calling (613) 659-2415, or by fax (613) 659-3619, or email Amanda Werner-Mackeler ACST(A), Secretary-Treasurer at amanda@townshipleeds.on.ca. DATED at the Township of Leeds and the Thousand Islands on the 4 th day of August, 2017. Township of Leeds and the Thousand Islands Page 2 of 3 1233 Prince St, PO Box 280, Lansdowne, ON K0E 1L0 Tel: (613) 659-2415 Page 3 of 42

Proposed Schedule A - Proposed Plot Plan Minor Variance Application: A-2017-024 Owner(s): Bradford & Kerlyn Snelling Location: 52 Hill Island Heights -9--574, -9.. -,->1 6 4.4)-,,.,.. 7,:..., 'S 4, 4 e,,,, 1. u,.. '4":11,,,,6.; I% o % a t) \a,q2 o 4:1 /c)41 /4) ZEGISTERED PLAN NO YOU ti IR(1296/ DISTURBED 0.2233.0.604E 7 GW / S HFA 14 7A, Township of Leeds and the Thousand Islands Page 3 of 3 1233 Prince St, PO Box 280, Lansdowne, ON K0E 1L0 Tel: (613) 659-2415 Page 4 of 42

July, 28, 2017 Township of Leeds and the Thousand Islands 1233 Prince St. Lansdowne, Ontario K0E 1L0 Att: Amanda Werner-Mackeler, CPT, ACST(A), AMCT Planning Technician/Administrative Assistant & Secretary-Treasurer, Committee of Adjustment Dear Ms. Werner-Mackeler, Re: - Minor Variance Application for New Dock 52 Hill Island Heights, Lansdowne, Ontario Please find enclosed herewith the following documentation: - 1. Development Application for Minor Variance duly completed. 2. Site Plan to scale on 11 x 17. 3. Cheques for Township and CRCA delivered on July 26. Above are hardcopies that were emailed on July 26, 2017. Should further information or clarification be needed please do not hesitate to contact the undersigned. Page 5 of 42

Township of Leeds and ihr Thousand Islands Section 22 (Official Plan Amendment) Section 34 (Zoning Amendment), Section 36 (Holding Zone Removal), Section 41 (Site Plan Approval) and Section 45 (Minor Variance) of the Planning Act Date Received: utl1/412-bii Application Complete? NO Date Deemed Complete: Fee Paid: Organization: TLTI - Staff CRCA Other: licur IF/ 4'400.00 Application Number: Roll Number: ei 1/4 2--O25-271c100 1. APPLICATION TYPE (Check all that apply) [Minor Variance (Complete ALL sections except 11, 12) Zoning By-Law Amendment (Including H Removal & Temporary Use) (Complete ALL sections except 12, 13) Site Plan Agreement (Complete ALL sections except 11, 12, 13) 111 Official Plan Amendment (Complete ALL sections except 11, 13) Development Agreement (Complete ALL sections except 11, 12, 13) Part-Lot Control (Complete ALL sections except 11, 12, 13) 2. PRE-CONSULTATION (Attach supporting documentation) Mandatory for Minor Variance Applications El Li Leeds, Grenville & Lanark Health Unit St. Lawrence Parks Commission 3. COMPLETE APPLICATION REQUIREMENTS IK' Complete Application Form Z Authorization of Applicant (if applicable) gir Affidavit signed by a Commissioner of Oaths (Commissioner available at Township Office; please call to confirm availability) igt Township Application Fee a Other Agency Applications and Fees (if applicable) Cover Letter and/or report Survey Plan (if available) Deed WScaled Sketch with setbacks identified (1 hard copy (11x17 paper or less) and 1 digital copy) Minimum Distance Separation Calculation Form (if applicable) Other studies as required by the Township or other Agencies (please refer to Supporting Document Checklist and refer to Section 5.6.14 of Official Plan) Page 6 of 42

4. SUBJECT LAND Assessment Roll Number: Obi2.23 (2. - 02.52-1 Civic Address: _52- (9.43.0 LS Orai40,Ty C44 Leal Description (Concession, Lot,Eart, Reference Plan numbers): VAir (A- Lsr i Zfi r?--- 5. REGISTERED OWNER(S) All owners must be included. If company, identify principals. A separate page may be submitted, if needed. Name(s): qt/ad...k Ky.-1104o, 51,1F.4-i-ii- Company Name (if Mailing Address: Phone (home) Email Address Date subject land 1\11p-ket. 2). 4A ( 6. APPLICANT INFORMATION If an applicant is NOT the owner of the subject lands, written authorization from all registered owner(s) must be obtained stating that the agent is authorized to make the application (Section 14.) 6.1 Is the applicant the same as the owner? Yes (same information as above) No (please fill out below and complete Section 14 - Agreement, Authorization and Declaration) 6.2 Name(s): Company Name (if applicable): Mailing Address: Phone (home): Phone (work): Phone (cell): Email Address: 7. SUBJECT LAND CHARACTERISTICS 7.1 Name(s) and address(es) of the holders of any mortgages, charges, and other encumbrances of the property (zoning by-law amendment only): kslaft.sṿr- Page 7 of 42 Page 2 of 14

7.2 Please list and describe any existing easements, right-of-ways or restrictive covenants that apply to the subject property (required to be shown on plot plan): or 7.3 Site Description: (briefly describe factors that may impact the proposed development, such as soil type and depth, lot configuration, steep slopes or lowlying areas, natural feature, etc.) A.. 7.4 Dimensions of Subject Land Total Lot Area:.62_ hectares - 31...(0 acres 1 Lot Depth:,Lci metres /P1U1 feet Lot Width (frontage): 24,521. metres 7n feet 7.5 Road Access (include name) Provincial Highway: County Road: Municipal Road: Igr Private Right-of-Way: (-(1,... 6...iv.14-) (-.,-,,,c,77,') Water Only: 7.6 If access to the subject land is by water only, provide details of parking and docking facilities to be used and the approximate distance of these from the subject land and the nearest public road: 7.7 Servicing - Water Municipal Piped Water System Lake or Other Water Body: gi Well ( Dug, EL-Drilled or Other (specify): Communal) Page 8 of 42 Page 3 of 14

7.8 Servicing - Sewage Municipal i, Privately-Owned Individual Sanitary Sewage System Privately-Owned Communal Sanitary Sewage System Composting/Self-Contained Toilet, Privy, Outhouse (circle applicable) Other: (Specify) 7.9 Servicing - Storm Drainage (check all that apply) Sewers Ditches Swales g Other (Specify): 1..-rc,..%V...v.-C-lati. ''S. 8. LAND USE, OFFICIAL PLAN & ZONING BY-LAW INFORMATION 8.1 Official Plan Designation: c---745,m,,,n4 8.2 Special Policy Area (if any): ---- 8.3 Zoning Designation: 5r,IAtt4, 4L_R,vscitsk-cisoijrAt 8.4 Heritage Designation (if any): 8.5 Existing Use(s): (indicate uses and length of time uses have continued).5..44.j.n.v.,a.,_cezṉac...;_r,-, 8.6 Proposed Use(s): 8.7 Existing Use on Adjacent Lands: North:... South: Sr,.. East: 5r,3, - g--s_. West: 8.8 Previous Use(s): (indicate all previous land uses on the subject land or adjacent lands including any industrial or commercial use, or if there is suspected land contamination. Note: When a property is being proposed for a more sensitive land use than its current or most recent use, then a Record of Site Condition (RSC) per the Environmental Protection Act (EPA) is required prior to land use change. Please refer to Ontario Regulation 153/04 for list of uses that may require RSC.) 4. Page 9 of 42 Page 4 of 14

8.9 Previous Planning History: (indicate any current or previous application under the Planning Act affecting the subject land, including file number and status of application) Minor Variance Application(s):... Site Plan Agreement Application(s): Zoning By-Law Amendment Application(s): Official Plan Amendment Application(s): Consent Application(s):, Other (please specify):..--. 8.10 Nearby Land Use or Features (Check Yes or No) YES NO Is there an agricultural operation including livestock facility or stockyard located on or within 1000 metres of subject land? (If Yes, Minimum Distance Separation information must be submitted) 0 Is there a waste management site or landfill within 500 metres of the subject lands? EK Is there a sewage treatment plant or waste stabilization plant within 500 metres of the subject lands? fit Is there a Provincially Significant Wetland (PSW) on the subject lands or ;1- within 120 metres? Is there a Locally Significant Wetland (LSW) located on the subject lands or within 50 metres? fa Is there an Area of Natural and Scientific Interest (ANSI) located on the subject lands or within 120 metres? Igt Is any portion of the subject lands within a Flood Plain? R. _ Is any portion of the subject lands within a Well Head Protection Zone? 'R. Is there a licensed mine, pit or quarry or an area designated for aggregate extraction on the subject land or within 1000 metres? El R Is any portion of the subject lands within 500 metres of a rehabilitated mine/pit/quarry site? Is there an industrial or commercial use, or wrecking yard, located on the subject lands or adjacent lands? gt (If Yes, specify use: ) Is there an active railway line within 5.00 metres of the subject lands? Is there a municipal or federal airport within 500 metres of the subject lands? ;ER'' Is the Provincial Highway 401 within 250 metres of the subject lands?, -8' Is there any Utility corridor(s) (i.e. power lines, hydro easement, natural gas or oil pipeline, etc.) located on the subject lands or within 500 metres? Has a gas station been located on the subject land or adjacent land at any time? Page 10 of 42 Page 5 of 14

YES NO Are the subject lands, or adjacent lands, within 500 metres of lands 0 suspected to be contaminated? IRI Has the grading of the subject land been changed by adding earth or other material(s)? D AK Is there a designated heritage building/site on the subject lands or within 500 metres? 8.11 Additional information that may be relevant to the review of the application: 9. EXISTING STRUCTURES & SETBACKS ON SUBJECT LAND 9.1 Existing Structures (include all structures on subject land, including marine facilities) Ground Dimensions Gross Number Floor Year Type of Structure Floor Area of Area Length Width Height Built (sq. m) Stories (sq. m) C5cv: c.g. (414 A i 14-q1 7161 5.,. iqb7-- 'Dc..44-- 21i-72- qt- I :3 EG" Z-Y5 -- 9.2 Setbacks of Existing Structures to property boundaries, shoreline, etc. Other Front Lot Side Lot Side Lot Rear Lot (shoreline, Type of Structure Line Line Line Line easement, etc) Page 11 of 42 Page 6 of 14

9.3 Existing Parking & Loading Spaces Existing Number of Standard Parking Spaces: Existing Number of Barrier Free Parking Spaces: Existing Number of Loading Spaces: 14A NOTE: Indicate any building or structure to be demolished as part of the existing development 10. PROPOSED DEVELOPMENT & SETBACKS ON SUBJECT LAND 10.1 Proposed Development (if any) Ground Gross Dimensions Number Floor Floor Type of Structure of Area Area Length Width Height Stories (sq. m) (sq. m) Year Built (d-..5 _ i ( i\ (DC. i sci 2t: SSTrk -,S C -J- re\ 10.2 Setbacks of Proposed Development to property boundaries, shoreline, etc. Other Type of Structure Front Lot Line Side Lot Line Side Lot Line Rear Lot Line (shoreline, easement, etc) 4, X - 10.3 Proposed Parking & Loading Spaces: Proposed Number of Standard Parking Spaces: Proposed Number of Barrier Free Parking Spaces: 1414 Proposed Number of Loading Spaces: 14, Page 12 of 42 Page 7 of 14

NOTE: Section 11 applies only to Zoning By-Law Amendment Applications 11. ZONING BY-LAW INFORMATION 11.1 Proposed Zoning: 11.2 Description of Proposal: (describe nature and extent of the rezoning request, reasons for rezoning) 11.3 Is the requested amendment consistent with the Township Yes Official Plan? Explain how the requested amendment is consistent with the Township Official Plan. 11.4 Is the requested amendment consistent with the County Yes Official Plan? Explain how the requested amendment is consistent with the County Official Plan. 11.5 Is the requested amendment consistent with the Provincial Policy Statement (PPS)? Explain how the requested amendment is consistent with the PPS. Yes Page 13 of 42 Page 8 of 14

NOTE: Section 12 applies only to Official Plan Amendment Applications 12. OFFICIAL PLAN INFORMATION 12.1 Does the requested amendment propose to change, Change replace, delete or add a policy in the Official Plan? Replace Delete Add Not Applicable If yes, specify the policy to be changed, replaced, deleted or added: (identify existing policy section and provide proposed text) 12.2 Does the requested amendment propose to change the Yes No designation of a parcel of land in the Official Plan? Specify the current designation to be changed and the land uses which are authorized by the designation: Specify the proposed new designation: What land uses would be authorized in the new designation of the requested Official Plan amendment? 12.3 Is a site-specific policy area proposed as part of the Official Yes No Plan? 12.4 Does the requested amendment propose to change a 0 Yes El No schedule in the Official Plan? (Applies if answer yes to 12.2 & 12.3 & 12.5 If yes, provide/attach the new schedule and text that accompanies it, if applicable. Page 9 of 14 Page 14 of 42

12.5 Does the requested amendment propose to alter all or any Yes No part of the boundary of an area of settlement? If yes, specify the current Official Plan policies, if any, dealing with the alteration of an area of settlement: 12.6 Is the requested amendment consistent with the County Official Plan? 1:1 Yes No Explain how the requested amendment is consistent with the County Official Plan. 12.7 Is the requested amendment consistent with the Provincial Policy Statement (PPS)? Explain how the requested amendment is consistent with the PPS: ['Yes ID No Page 15 of 42 Page 10 of 14

NOTE: Section 13 applies only to Minor Variance Applications 13.0 MINOR VARIANCE INFORMATION 13.1 Description of Proposal,,Nz ISILA-Ca.->a,S) -'i,."-c k -0 4Z.L3_/_fm U tari-lii '---ak_ce., 7d. Latac,- A,46.Alscrt.,_ - -. 13.2 Variance Requested from Zoning By-Law: Proposed Section Zone Requirement Variance Required Standard. -: 1.1:6( 0-C- kt--44,--, 1-143.glix SI ey (05- I Sci en 2_5 C) Li- Sck r...-% 13.3 Why is it not possible to comply with the provisions of the Zoning By-Law? Zic-i411...ic: --kaistu --- z_l_tni _Thr:c> Gzr_pja ' j il. atuc) "(,NS,4.11. ii_,_ - MA tlak'cl,th_ Uit'EN. h- \ " A A-,.NI-se- ---16.--On. 3..sS_tia - c-,45 inta l_c&lqa.. Gx.i.)>Iyz) NA Ussrha... Cct./Mx Ci4 --Ect 5-tag_3_ -:11,i 11.!. tt.. 1... 1.,tz)Sv,-1. e-- Gcbc) CcAtl)m_ D, Acc- - 's4 Att%A. %, 11.0z_...C NWTri--., s%g-r\ klk Alasz_Chs5., IN\14.1hCtu...1., 4AL:A 6J_S LksLAS_C-44 tia.. via rluaky&a_mfzi. NOTE: Proposed construction to be clearly staked on site. Page 16 of 42 Page 11 of 14

14. AUTHORIZATION & PERMISSION TO ENTER Owner's Authorization The Owner must complete the following to authorize the applicant to make the application on their behalf (if Owner NOT the applicant) and/or to permit Council, Committees of Council, Township Staff or authorized agents to enter the subject property to conduct site inspections related to this application. If multiple owners, an authorization letter from each owner is required. 27We 19...ka-7,e.t..1") KN,S1-1- 1N- `,4-1-4 C A (name(s) of owner(s) or company) being the registered owner(s) of the subject property of this application: Hereby authorize the following person(s) to act as our agent to prepare, submit and pay any associated fees on our behalf (if applicable): c ac c 51N.e\X (name of appl)cant(s)) Hereby authorize Council, Committees of Council, and Township Staff or authorized agents to enter the subject property to conduct site inspections related to this application. Agree to ensure that any driveway/lanes are accessible during the circulation period of the application so that Committee members, Township staff and other agencies do not have any barriers blocking access to the subject land. Island properties will require a boat ride, which is to be provided by the owner/agent. If applicable, Township Staff will make arrangements for the most suitable date and time. Agree to post any required signage on site, which is prepared by Township Staff, with respect to this application in the requested timeframe of the Planning Act and upon notification by Township Staff. I/We also agree to provide photographic evidence of the posted sign at the request of Township Staff. Agree to s prior to ke e area of any proposed construction a minimum of 1 week earin d te of.pplication. Signature(s). W urim 'WOW At air Date: 7. Page 12 of 14 Page 17 of 42

15. AGREEMENT TO INDEMNIFY & STATUTORY DECLARATION I/We, U-4"00 ' Of the In the (name of applicant(s)) (name of Municipality) (name of County) Hereby agree to indemnify and save harmless The Corporation of the Township of Leeds and Thousand Islands (the "Municipality") from all costs and expenses that the Municipality may incur in connection with the processing of the applicant's application for approval under the Planning Act. Without limiting the foregoing, such costs and expenses will include all legal, engineering, planning, advertising and consulting fees and charges incurred or payable by the Municipality to process the application together with all costs and expenses arising from or incurred in connection with the Municipality being required, or requested by the applicant, to appear at the hearing of any appeal to the Ontario Municipal Board from any decision of the Council approving the applicant's application. I/We acknowledge and agree that if any amount owing to the Municipality in respect of the application is not paid when due, the Municipality will not be required to process or to continue processing the application, or to appear before the Ontario Municipal Board in support of a decision approving the application until the amount has been paid in full. I/We further acknowledge and agree that any amount owing by the applicant to the Municipality is, when due, a debt of the applicant and the Municipality may, in addition to any other remedies available to it at law, recover the amount owing together with interest from the applicant by action. I/We solemnly declare that all of the above statements contained herein and all exhibits transmitted uerewith including this application and any required document attached hereto ar -, and I/We make this solemn declaration conscientiously believing it t tr vowing that it is of the same force and effect as if made under oats and b, vi tue o the Canada Evidence Act. Signatu 400,=.441t,L,.,4141111IF Date: 1/4( Declared before me at the: ToN.Q0S N,9 1 -e e rts tt Ou--), in the CCTV r cc Le-r1 S are (1\0\t" (name of County) (name of municipality) This *2V day of 1 20 I-1 Signature of Commissioner, etc.: Page 18 of 42 Page 13 of 14

SUPPORTING DOCUMENTS CHECKLIST Reports, Studies, Plans - Check all submitted with application Archaeology Assessment Argology & Soil Capacity Study Assessment of Adequate Public Services/Conceptual Site Service Study III Assessment of Landform Feature Market Needs/Impact Study or Brief Mine hazard Study/Abandon Pit/Quarry Mineral Aggregate Resources Impact Study Minimum Distance Separation I & II 111 Conceptual Site Plan/Subdivision Plan n Municipal Servicing Study Cultural Heritage Impact Assessment* Draft County Policy Plan Amendment Draft Local Official Plan Amendment Environmental Impact Study ni Environmental Planning Study/ Sub- L-' Watershed Study r i Environmental Site Assessment, I I Phase II/Record of Site Conditions lij Erosion & Sediment Control Plan Farm Operation and Ownership Financial Impact Assessment* H Floodplain and Hazard Lands Boundary Plan/Analysis Floor Plans & Elevation Drawings Gas Well Study/Gas Migration Study Geotechnical Study/Slope Stability Groundwater Impact Assessment Hydrogeological Study and Terrain Analysis 111 Hydrological Impact Analysis Impact Assessment of Adjacent Waste Disposal Sites/ Former Landfills Noise Study (Vibration/Air Quality) Nutrient Management Strategy Phasing Plan Planning Justification Report 1 1 Li Propane Facility Hazard Assessment Property Transfer/Deed of Land Reasonable Use Study Risk Management Study Sensitive Land Use Report Septic Permit Servicing Options Report Shadow Analysis Shoreline Study/Dynamic Beach Soil report Stormwater Management Plan m Transportation Impact Study of ''' Brief/Parking Impact Analysis Tree Inventory Preservation and Protection Plan Urban Design/Landscape Plans Wind Study Wellhead Protection Plan or Intake Protection Zone (circle applicable) Other: NOTE: Studies identified with an asterisk (*) will likely require a peer review at the cost of the developer. Page 14 of 14 Page 19 of 42

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Township of Leeds and the Thousand Islands Planning and Development Department 1233 Prince Street, P.O. Box 280 Lansdowne, ON K0E 1L0 Telephone: 613-659-2415; 866-220-2327 Fax: 613-659-3619 Email: amanda@townshipleeds.on.ca NOTICE OF COMMITTEE OF ADJUSTMENT HEARING MINOR VARIANCE APPLICATION (Section 45 of the Planning Act) DATE: Tuesday, August 29, 2017 TIME OF HEARING: 1:00 p.m. LOCATION: Council Chamber, TLTI Municipal Office 1233 Prince Street, Lansdowne, ON K0E 1L0 TAKE NOTICE that the Committee of Adjustment for the Corporation of the Township of Leeds and the Thousand Islands is in receipt of the following application for Minor Variance to Zoning By-Law No. 07-079. A Public Hearing will be held on the application at the meeting noted above. Application No.: A-2017-025 Applicant/Agent: Jacqueline Bannister and Clifford Lefrense Location: 821 Klon Lane Ward: Rear of Leeds and Lansdowne Official Plan Designation: Rural, Flood Plain CRCA Mapping indicates Flood Plain Zoning Designation: Shoreline Residential (RS) Property Dimensions: Lot Size: 1.0 hectares (2.5 acre)* Frontage: 106.3 metres (348.67 feet) Depth: 66.5 metres (218.2 feet) *Measured outside of the flood plain Subject Property KEY MAP: property subject to application for Minor Variance shown in red outline. PURPOSE OF APPLICATION The owners of the subject property wish to demolish a 76.3 square metre (821.0 square foot) non-complying single storey single detached dwelling with a deck and a second 93.6 square metre (1007 square foot) non-complying single storey single detached dwelling and construct a 58 square metre (624 square foot) 2 storey dwelling with a 11.1 square www.leeds1000islands.ca Page 21 of 42 Page 1 of 3

metre (120 square foot) deck. The dwelling is proposed to be no closer to the high water mark then the existing. The owners also wish to construct a new sewage system which will comply with the provisions of the Zoning By-Law. The proposed dwelling requires the following variances: REQUESTED VARIANCE(S) TO THE ZONING BY-LAW Dwelling: Section 3.31(b) Relief of 10.6 metres (34.63 feet) from the required 30 metre (98.4 foot) setback from the high water mark to allow for a 19.4 metres (63.77 foot) setback from the high water mark for the proposed dwelling. Section 5.5(b) Relief of 10.6 metres (34.63 feet) from the required 30 metre (98.4 foot) setback from the high water mark to allow for a 19.4 metre (63.77 foot) setback from the high water mark (front yard setback) for the proposed dwelling. Deck: Section 3.31(b) Relief of 12.1 metres (58.77 feet) from the required 30 metre (98.4 foot) setback from the high water mark to allow for a 17.9 metres (39.63 foot) setback from the high water mark for the proposed deck. Section 5.5(b) Relief of 12.1 metres (34.63 feet) from the required 30 metre (98.4 foot) setback from the high water mark to allow for a 17.9 metre (39.63 foot) setback from the high water mark (front yard setback) for the proposed deck. THE COMMITTEE OF ADJUSTMENT The Committee of Adjustment is an independent body appointed by Council, under authority granted by the Province through the Planning Act. The Committee operates and follows procedures under the Statutory Powers and Procedure Act and various Provincial Regulations. The role of the Committee is to consider applications for minor variance and approve such applications having been satisfied that: the general intent and purpose of the Official Plan is maintained; the general intent and purpose of the Township s Zoning By-Law is maintained; the variance requested is minor; and the proposal is appropriate for the development of the land and/or building. MAKE YOUR VIEWS KNOWN The Committee of Adjustment will make a decision on the application on the basis of information or evidence received before and during the hearing. This notice has been mailed to you, as required by the Planning Act, to ensure that as an interested party you may make your views known on the above application. You may express your support or opposition to the proposed variance by either attending the above public hearing or sending a letter by mail, fax or hand-delivery prior to the hearing date. Any correspondence received will become part of the public record. VIEW THE APPLICATION FILE Additional information concerning the Minor Variance Application is available from the Planning and Development Department at 1233 Prince Street, Lansdowne, during normal office hours. RECEIVE A COPY OF THE COMMITTEE S DECISION Generally, the Committee of Adjustment will announce its recommendations and/or decision on the application at the Public Hearing. To receive a copy of the Committee s decision, you must make a written request to the Committee of Adjustment c/o Township of Leeds and the Thousand Islands, 1233 Prince Street, PO Box 280, Lansdowne, Ontario, K0E 1L0. For more information, please contact our office by calling (613) 659-2415, or by fax (613) 659-3619, or email Amanda Werner-Mackeler ACST(A), Secretary-Treasurer at amanda@townshipleeds.on.ca. DATED at the Township of Leeds and the Thousand Islands on the 4 th day of August, 2017. Township of Leeds and the Thousand Islands Page 2 of 3 1233 Prince St, PO Box 280, Lansdowne, ON K0E 1L0 Tel: (613) 659-2415 Page 22 of 42

Proposed Schedule A - Proposed Plot Plan Minor Variance Application: A-2017-025 Owner(s): Jacqueline Bannister and Clifford Lefrense Location: 821 Klon Lane 4, 0 '19 er 0 Sso..40" d. ' 11, rv :6' OS' kr.s2f 12z- -.,. ''''------- ----- 106:7;1, & 11 1- ----, --.7...j. - OF - g, 4,-----',,, \ 440. 1- >( -- -- -- J I...., 0 1 - ^,o. ngg, 4.1" ) s l s(d,6 -t r J:1-.11 re Csr7 1z4.- C \\-).7. I A :,,,,i... `3r0,),tc, / d, / A o 14 r4, \e/t,- (1 -rt6( 41:1,..t---.4 '.i. / /.,4.` z.' S tbint 1,.^. / FR -r,,,.., I 41 / / /4:,, gergt: 7,0 i gt 4ț' / C ' / 4, / ~,;... ) AA., / ---,-,49 4, / / / / / 7 / NP4r141C.1-1(g / / 1,,P / / awed ac".e..1 / 4 / / / / / f''''. 11 / 1 / / / c),zd2f / i.sq / / t. LRs / IP.00.1 7,2E3 63 AGIY za gvgl'q'22g41.0,1 Z00000ootann - 1.4 14: S Township of Leeds and the Thousand Islands Page 3 of 3 1233 Prince St, PO Box 280, Lansdowne, ON K0E 1L0 Tel: (613) 659-2415 Page 23 of 42

Township of Leeds and the Thousand Islands Section 22 (Official Plan Amendment) Section 34 (Zoning Amendment), Section 36 (Holding Zone Removal), Section 41 (Site Plan Approval) and Section 45 (Minor Variance) of the Planning Act OFFICE USE ONLY Date Received:.1\v,cyp,tk tv-/ Application Complete? ESJ NO Date Deemed Complete: ka.cy Application Number: Fee Paid: Na\Ye3 Roll Number: f3ko-cv,o 2bcio2) 1. APPLICATION TYPE (Check all that apply) gl Minor Variance (Complete ALL sections except 11, 12) Zoning By-Law Amendment (Including H Removal & Temporary Use) (Complete ALL sections except 12, 13) 111 Site Plan Agreement (Complete ALL sections except 11, 12, 13) 111 Official Plan Amendment (Complete ALL sections except 11, 13) Development Agreement (Complete ALL sections except 11, 12, 13) Part-Lot Control (Complete ALL sections except 11, 12, 13) 2. PRE-CONSULTATION (Attach supporting documentation) - Mandatory for Minor Variance Applications Organization: TLTI - Staff CRCA Other: 3. COMPLETE APPLICATION REQUIREMENTS Complete Application Form 1R1 Authorization of Applicant (if applicable) 12 Leeds, Grenville & Lanark Health Unit St. Lawrence Parks Commission 1E1 Affidavit signed by a Commissioner of Oaths (Commissioner available at Township Office; please call to confirm availability) Township Application Fee Other Agency Applications and Fees (if applicable) Cover Letter and/or report El Survey Plan (if available) Deed Scaled Sketch with, setbacks identified (1 hard copy (11x17 paper or less) and 1 digital copy) Minimum Distance Separation Calculation Form (if applicable) 111 Other studies as required by the Township or other Agencies (please refer to Supporting Document Checklist and refer to Section 5.6.14 of Official Plan) Page 24 of 42

4. SUBJECT LAND Assessment Roll Number: 08-12-816-010-28400 Civic Address: 821 Klon Lane, Seeley's Bay, Ontario KOH 2N0 Legal Description (Concession, Lot, Part, Reference Plan numbers): Part 1 (instrument# 80846) Part of Lot 2, Concession 8, Township of Leeds and the Thousand Islands S. REGISTERED OWNER(S) All owners must be included. If company, identify principals. A separate page may be submitted, if needed. Name(s): Jacqueline Bannister and Clifford Lefrense Company Name (if applicable): Mailing Address: Phone (home) Phone (cell): Email Address Date subject land acquired by current owner: June 30, 2009 6. APPLICANT INFORMATION If an applicant is NOT the owner of the subject lands, written authorization from all registered owner(s) must be obtained stating that the agent is authorized to make the application (Section 14.) 6.1 Is the applicant the same as the owner? 1 Yes (same information as above) No (please fill out below and complete Section 14 - Agreement, Authorization and Declaration) 6.2 Name(s): Company Name (if applicable): Mailing Address: Phone (home): Phone (work): Phone (cell): Email Address: 7. SUBJECT LAND CHARACTERISTICS 7.1 Name(s) and address(es) of the holders of any mortgages, charges, and other encumbrances of the property (minor variances only): NONE Page 2 of 14 Page 25 of 42

7.2 Please list and describe any existing easements, right-of-ways or restrictive covenants that apply to the subject property (required to be shown on plot plan): 66 Feet 9 (20.17 meters of ROW off of Klon Lane 7.3 Site Description: (briefly describe factors that may impact the proposed development, such as soil type and depth, lot configuration, steep slopes or lowlying areas, natural feature, etc.) Extremely steep sloped property with alot of bedrock(quartz,granite). Facing the property from the water, - in front of property leading up to Retaining Wall it is solid rock - to right of Dwelling#1, a very steep slope with solid rock. Note: Apparantly, former owners blasted rock and put i fill to create a fairly flat area for building (where strucures were located) and retaining wall put in place - Bedrock also highly evident on back of land and there is a an extremely steep cliff down to towars next propert 7.4 Dimensions of Subject Land Total Lot Area: hectares 2.68 acres Lot Depth: metres 218.20 feet Lot Width (frontage): metres 348.67 feet 7.5 Road Access (include name) Provincial Highway: County Road: 111 Municipal Road: IN Private Right-of-Way: 66 fnnt ROW in niir favour from Klnn I ane (instr#0348894) 111 Water Only: 7.6 If access to the subject land is by water only, provide details of parking and docking facilities to be used and the approximate distance of these from the subject land and the nearest public road: 7.7 Servicing - Water Municipal Piped Water System IZ Well ( Dug, IX Drilled or 1=1 Communal) PLANNED KI Lake or Other Water Body: pumped from Lake 111 Other (specify): Page 26 of 42Page 3 of 14

7.8 Servicing - Sewage Municipal IEI Privately-Owned Individual Sanitary Sewage System Privately-Owned Communal Sanitary Sewage System Composting/Self-Contained Toilet, Privy, Outhouse (circle applicable) IN Other: (Specify) Class 4 Sewage System Planned 7.9 Servicing - Storm Drainage (check all that apply) 111 Sewers El Ditches 111 Swales Other (Specify): 8. LAND USE, OFFICIAL PLAN & ZONING BY-LAW INFORMATION 8.1 Official Plan Designation: Rural Policy Area (RS Zone) 8.2 Special Policy Area (if any): 1 8.3 Zoning Designation: Rural Policy Area (RS Zone) 8.4 Heritage Designation (if any): None 8.5 Existing Use(s): (indicate uses and length of time uses have continued) We believe it has has dwelling use since 1969 for seasonal use. We purchased the property in 2009 and we have continued seasonal use (Spring, Summer, Fall) usual! between April/May and Early October) mostly weekends 8.6 Proposed Use(s): larger dwelling for all year round use with 3 bedrooms, 1.5 baths, laundry washer, dishwasher with class 4 septic system and drilled well 8.7 Existing Use on Adjacent Lands: North: dwelling, seasonal use South: dwelling, seasonal use East: dwelling, seasonal use West: dwelling, seasonal use 8.8 Previous Use(s): (indicate all previous land uses on the subject land or adjacent lands including any industrial or commercial use, or if there is suspected land contamination. Note: When a property is being proposed for a more sensitive land use than its current or most recent use, then a Record of Site Condition (RSC) per the Environmental Protection Act (EPA) is required prior to land use change. Please refer to Ontario Regulation 153/04 for list of uses that may require RSC.) Have not seen any contamination or such use and we are not aware of any history of this. Page 4 of 14 Page 27 of 42

8.9 Previous Planning.History: (indicate any current or previous application under the Planning Act affecting the subject land, including file number and status of application) Minor Variance Application(s): I=1 Site Plan Agreement Application(s): 1=1 Zoning By-Law Amendment Application(s): Official Plan Amendment Application(s): Consent Application(s): 1=1 Other (please specify): 8.10 Nearby Land Use or Features (Check Yes or No) Is there an agricultural operation including livestock facility or stockyard located on or within 1000 metres of subject land? (If Yes, Minimum Distance Separation information must be submitted) Is there a waste management site or landfill within 500 metres of the subject lands? Is there a sewage treatment plant or waste stabilization plant within 500 metres of the subject lands? Is there a Provincially Significant Wetland (PSW) on the subject lands or within 120 metres? Is there a Locally Significant Wetland (LSW) located on the subject lands or within 50 metres? Is there an Area of Natural and Scientific Interest (ANSI) located on the subject lands or within 120 metres? Is any portion of the subject lands within a Flood Plain? IN Is any portion of the subject lands within a Well Head Protection Zone? igl Is there a licensed mine, pit or quarry or an area designated for aggregate extraction on the subject land or within 1000 metres? Is any portion of the subject lands within 500 metres of a rehabilitated mine/pit/quarry site? Is there an industrial or commercial use, or wrecking yard, located on the subject lands or adjacent lands? (If Yes, specify use: Is there an active railway line within 500 metres of the subject lands? 1-1 Is there a municipal or federal airport within 500 metres of the subject lands? Is the Provincial Highway 401 within 250 metres of the subject lands? Is there any Utility corridor(s) (i.e. power lines, hydro easement, natural gas or oil pipeline, etc.) located on the subject lands or within 500 metres? Has a gas station been located on the subject land or adjacent land at LI any time? Page 28 of 42 YES NO 0 ZI X1 KI Page 5 of 14

Are the subject lands, or adjacent lands, within 500 metres of lands suspected to be contaminated? Has the grading of the subject land been changed by adding earth or other material(s)? Is there a designated heritage building/site on the subject lands or within 500 metres? YES NO 0 1:81 8.11 Additional information that may be relevant to the review of the application: It appears that a former owner blasted rock, and brought in rock to create a retaining wall and also brought in alot of fill to create a levelled area for building on (where buildings located) LI 171 9. EXISTING STRUCTURES & SETBACKS ON SUBJECT LAND 9.1 Existing Structures (include all structures on subject land, including marine facilities) Type of Structure 1 structure (dwelling) # 2(former dwelling) #3 concrete holding tank #4 outhouse #5 dock #6 - Deck on dwelling #1 Ground Floor Area (sq. m) 821ft 2 /76.3m 2 1007ft 2 / 93.6m 32ft / 3.0m 25ft / 2.3m 200ft / 18.6 100 ft Gross Floor Area (sq. m) 821ft / 76.3m 1007ft / 93.6 m 32ft / 3.0 m 25ft / 2.3m 200ft / 18.6m 100 ft Number of Stories 1 1 Length 42 ft / 12.8m 30 ft /9.2m 38 ft/ 11.6rr 26.5ft/ 8.1n4 20 ft/ 6.1 ft 8 ft/ 2.5m 5 ft/ 1.5m 25 ft / 8m 20 ft Dimensions Width 4ft / 1.3m 5 ft / 1.5m 8 ft / 2.5m 9.2 Setbacks of Existing Structures to property boundaries, shoreline, etc. Type of Structure Front Lot Line Side Lot Line Side Lot Line 5 ft Rear Lot Line Height 15ft / 4.6m 5ft / 1.5m 8ft / 2.4 m Floating 1 ft Year Built unknown unknown unknown 2014 unknown unknow Other (shoreline, easement, etc) dwelling #1 over 100ft / 30 metres over 100ft/30 metres ova, 100 ft/ 30 =inn shortest horizontal 63,74 ft from shoreline #2 over 100 ft / 30 m over 100 ft / 30 metres <Ivor 101)11130 mttrss shortest horizontal 45ft from shoreline #3 sewage holding tank over 100 ft / 30 metres over 100 ft / 30 metres ovix 100 0/ 30 MiI003 50 ft from shorelines #4 outhouse over 100 ft / 30 metres over 100 ft / 30 metres over 100 ft / 30 metres 80 ft from shoreline Page 29 of 42 Page 6 of 14

9.3 Existing Parking & Loading Spaces Existing Number of Standard Parking Spaces: Existing Number of Barrier Free Parking Spaces: Existing Number of Loading Spaces: NOTE: Indicate any building or structure to be demolished as part of the existing development 10. PROPOSED DEVELOPMENT & SETBACKS ON SUBJECT LAND 10.1 Proposed Development (if any) Type of Structure Ground Floor Area (sq. m) Gross Floor Area (sq. m) Number of Stories Length Dimensions Width Height Year Bu i lt Dwelling NEW BUILD 2-storey, 3 bd, 1.5ba h 624 ft / 1248ft / 2 24 ft 26ft 30 ft 2017/2018 detached deck in front of dwelling 120 ft 120 ft ground level 24ft 5ft 1 ft 2017/18 Septic System Class 4 2017/18 Drilled Well 2017-18 10.2 Setbacks of Proposed Development to property boundaries, shoreline, etc. Type of Structure Front Lot Line 1 Side Lot Line Side Lot Line Rear Lot Line Other (shoreline, easement, etc) Dwelling Now Dodd over 100 fe A over 100 feet over 100 feet 63 77 feet 63 77 feet to shoreline Septic System Close d over 100 ft over 100 It over 100 ft 80-100 feet 80-100 ft from shoreline, Ordou Well over 100 feet peer 100 ft over 100 feet 60 feet 50ft from septic tank and hod 10.3 Proposed Parking & Loading Spaces: Proposed Number of Standard Parking Spaces: 2 Proposed Number of Barrier Free Parking Spaces: 2 Proposed Number of Loading Spaces: Page 7 of 14 Page 30 of 42

NOTE: Sec 311 11 applies only to Zoning By-Law Amendment Applications 11. ZONING BY-LAW INFORMATION 11.1 Proposed Zoning: 11.2 Description of Proposal: (describe nature and extent of the rezoning request, reasons for rezoning) 11.3 Is the requested amendment consistent with the Township Yes No Official Plan? Explain how the requested amendment is consistent with the Township Official Plan. 11.4 Is the requested amendment consistent with the County Yes No Official Plan? Explain how the requested amendment is consistent with the County Official Plan. 11.5 Is the requested amendment consistent with the Provincial El Yes ID No Policy Statement (PPS)? Explain how the requested amendment is consistent with the PPS. Page 31 of 42 Page 8 of 14

NOTE: Section 12 applies only to Official Plan Amendment Applications 12.0 OFFICIAL PLAN INFORMATION 12.1 Does the requested amendment propose to change, replace, delete or add a policy in the Official Plan? Change Replace Delete Add Not Applicable If yes, specify the policy to be changed, replaced, deleted or added: (identify existing policy section and provide proposed text) 12.2 Does the requested amendment propose to change the Yes No. designation of a parcel of land in the Official Plan? Specify the current designation to be changed and the land uses which are authorized by the designation: Specify the proposed new designation: What land uses would be authorized in the new designation of the requested Official Plan amendment? 12.3 Is a site-specific policy area proposed as part of the Official Yes No Plan? 12.4 Does the requested amendment propose to change a Yes No schedule in the Official Plan? (Applies if answer yes to 12.2 & 12.3 & 12.5 If yes, provide/attach the new schedule and text that accompanies it, if applicable. Page 32 of 42Page 9 of 14

12.5 Does the requested amendment propose to alter all or any. Yes No I part of the boundary of an area of settlement? If yes, specify the current Official Plan policies, if any, dealing with the alteration of an area of settlement: 12.6 Is the requested amendment consistent with the County Official Plan? Yes No Explain how the requested amendment is consistent with the County Official Plan. -.. 12.7 Is the requested amendment consistent with the Provincial Policy Statement (PPS)? Explain how the requested amendment is consistent with the PPS: Yes No Page 10 of 14 Page 33 of 42

NOTE: Section 13 applies only to Minor Variance Applications 13.0 MINOR VARIANCE INFORMATION 13.1 Description of Proposal The Bylaws require us to build a minimum of 75 sq.m (802.29 sq feet). Our current footprint is 821 sq ft, T shaped, 1-storey as registered with the Township. The building was built into the side of a steep slope of bedrock with no separation to allow for drainage and land slide. Any renovation or rebuild requires the building to be moved 2-3ft away from this rocked slope. There is alot of solid bedrock on the property which is why the previous owner blasted out rock and brought it alot of fill to create a building area. le bedrock in ith a extremely steep slope to the neighbouring property. In order to respect the bylaw to not increase our non-compliance by going closer to the water, we would build a 2-storey, 4-season dwellling with a smaller footprint (approx 624 sq.ft) with increased living space area to approx. 1248 sq.ft. In doing so, we could respect the min build requirement,our legal non compliant water distances, and have space for vehicles, class 4 septic, drilled well. Our new septic will be set back as far as possible to try get 100 ft (consultation underway between our installer and Health Unit official) and will be no closer than the holding tank (50 ft water setback). It will service a new 24 feet (W) x 26 (W) 2-storey 3 bdr 4-season dwelling slab on grade. 13.2 Variance Requested from Zoning By-Law: Section j I r Zone Requirement Proposed Standard %s,4-nnlu3,7 Variance Required (0 ( e-c\-.\oi, 3.3 (-'0) 15 ( 3t, (5e0-7r-i--- \ 'On( Scl i to r.2) 13.3 Why is it not possible to comply with the provisions of the Zoning By-Law? The provisions of the bylaw require two things that we are trying to comply with: 1. to build a new dwelling with a minimum of 802.29 sq.ft and 2. to not increase our legal non compliance of shortest distance to the water. The current structure was built butted right up against the steep slope which has solid bedrock underneath it. The new structure needs to be build about 2-3 feet away from that slope so that proper drainage can be put in place and to protect the new structure against rolloff. The 24ft x 26 ft build allows us to move the structure over a few feet while still staying within the existing footprint and respecting our legal non-compliance setback Iron the water. The footprint of the new building would be approx. 624 sq.ft but the total living space would be 1248 sq.ft. This would be a 4- season dwelling. A class 4 septic system would replace a concerte holding tank and with it being further back from the water. A drilled well would be installed and the piping for pumping water up from the lake would no longer be required We would be compliant on all fronts but we require approval of COA to build a new structure that is higher and greater volume over what was previously built: - Height increase to build a 2-storey 28 ftt high from ground floor to higest peak of roof), which would be higher than the previous 15 ft - Volume increase to build a 1248 sq.ft living area (624 per floor), which would be greater than the previous 821sq.ft - the size would be 624 sqft with 24 x 26 footprint vs the previous 821 sq.ft 1 storey footprint The new build would not be any closer to the water tand would be withing current distances from the build of previous owner We would be modernized and back further from the water with the new septic system we would not be drawing upon the lake water with a drilled well NOTE: Proposed construction to be clearly staked on site. Page 11 of 14 Page 34 of 42

14. AUTHORIZATION & PERMISSION TO ENTER Owner's Authorization The Owner must complete the following to authorize the applicant to make the application on their behalf (if Owner NOT the applicant) and/or to permit Council, Committees of Council, Township Staff or authorized agents to enter the subject property to conduct site inspections related to this application. If multiple owners, an authorizatio letter from each owner is required. I/We 777IM-S7-6-12 (dzi 4-0-/ (na e(s) of owner(s) or company) being the registered owner(s) of the subject property of this application: Hereby authorize the following person(s) to act as our agent to prepare, submit and pay any associated fees on our behalf (if applicable): (las2 (name of applicant(s)) /31VAPSF-/- Hereby authorize Council, Committees of Council, and Township Staff or authorized agents to enter the subject property to conduct site inspections related to this application. Agree to ensure that any driveway/lanes are accessible during the circulation period of the application so that Committee members, Township staff and other agencies do not have any barriers blocking access to the subject land. Island properties will require a boat ride, which is to be provided by the owner/agent. If applicable, Township Staff will make arrangements for the most suitable date and time. Agree to post any required signage on site, which is prepared by Township Staff, with respect to this application in the requested timeframe of the Planning Act and upon notification by Township Staff. I/We also agree to provide photographic evidence of the posted sign at the request of Township Staff. Agree to stake the area of any proposed construction a minimum of 1 week prior to the hearing date of your application. Signature(s): ) E. Date: 410-701,1/ Page 35 of 42 Page 12 of 14

15. AGREEMENT TO INDEMNIFY & STATUTORY DECLARATION I/We, 77 Cie (IVL /4"-,1/1/,S7(' -}e nam of appli ant(s)) Of the CE 7 / o f 0 7 In the rd//72c e (name of Municipality) (name of County) Hereby agree to indemnify and save harmless The Corporation of the Township of Leeds and Thousand Islands (the "Municipality") from all costs and expenses that the Municipality may incur in connection with the processing of the applicant's application for approval under the Planning Act. Without limiting the foregoing, such costs and expenses will include all legal, engineering, planning, advertising and consulting fees and charges incurred or payable by the Municipality to process the application together with all costs and expenses arising from or incurred in connection with the Municipality being required, or requested by the applicant, to appear at the hearing of any appeal to the Ontario Municipal Board from any decision of the Council approving the applicant's application. I/We acknowledge and agree that if any amount owing to the Municipality in respect of the application is not paid when due, the Municipality will not be required to process or to continue processing the application, or to appear before the Ontario Municipal Board in support of a decision approving the application until the amount has been paid in full. I/We further acknowledge and agree that any amount owing by the applicant to the Municipality is, when due, a debt of the applicant and the Municipality may, in addition to any other remedies available to it at law, recover the amount owing together with interest from the applicant by action. I/We solemnly declare that all of the above statements contained herein and all exhibits transmitted herewith including this application and any required document attached hereto are true, and I/We make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue of the Canada Evidence Act. Signature 1.; Date: Declared before me at'''e: (name of municipality) LAINI4ed fru (\A-4 es of /..,eeds c=t Grg n viq-e (name of County) Jr This 1 day of rt.,.ju_',/c, 20 l l Signature of Commissioner, etc.: Page 36 of 42 Page 13 of 14

SUPPORTING DOCUMENTS CHECKLIST Reports, Studies, Plans - Check all submitted with application Archaeology Assessment Market Needs/Impact Study or Brief Argology & Soil Capacity Study Mine hazard Study/Abandon Pit/Quarry 7-1 Assessment of Adequate Public Mineral Aggregate Resources Impact 1 I Services/Conceptual Site Service Study Study Assessment of Landform Feature Minimum Distance Separation I & II Conceptual Site Plan/Subdivision Plan Municipal Servicing Study i-1 Cultural Heritage Impact El Noise Study (Vibration/Air Quality) I I Assessment* Draft County Policy Plan Amendment Draft Local Official Plan Amendment Environmental Impact Study ni Environmental Planning Study/ Sub- I I Watershed Study Environmental Site Assessment, Phase II/Record of Site Conditions Erosion & Sediment Control Plan Nutrient Management Strategy Phasing Plan Planning Justification Report I Propane Facility Hazard Assessment Property Transfer/Deed of Land n Reasonable Use Study Farm Operation and Ownership Risk Management Study I=1 Financial Impact Assessment* INI Sensitive Land Use Report I-1 Floodplain and Hazard Lands Boundary Plan/Analysis 21 Septic Permit Submited to the Health Unit Z Floor Plans & Elevation Drawings Gas Well Study/Gas Migration Study Geotechnical Study/Slope Stability Groundwater Impact Assessment in L-I Hydrogeological Study and Terrain Analysis Hydrological Impact Analysis Impact Assessment of Adjacent Waste Disposal Sites/ Former Landfills Urban Design/Landscape Plans Servicing Options Report 111 Shadow Analysis Shoreline Study/Dynamic Beach H Soil report Stormwater Management Plan Transportation Impact Study of Brief/Parking Impact Analysis Tree Inventory Preservation and Protection Plan Wind Study Wellhead Protection Plan or Intake Other: " Protection Zone (circle applicable) NOTE: Studies identified with an asterisk (*) will likely require a peer review at the cost of the developer. Page 14 of 14 Page 37 of 42

i i, i, I 0 - (../ o/ c4,7, tel,t.,:., t, - Wet,v),d C; ii ( Xe lb' 4- cp v...o 5 1 2,<D VI k 1. 4- N PART 2 IS SUBJECT TO A RIGHT-, PART 3 IS SUBJECT TO A RIGHT-t,PAIM77 0 INSTRUMENT N-0. 321889 r st. N.14 N 9. N 1 6-41 \ \ (86! 'o N \\\h / \ 80.71' N)\,N84 0. 7 2 \ N t five4 a d,7 N -44 \, N \ \ N84.1 7.20'W Q- 1m. \ \ & i \ a 0 '472 N met, \ N 0 N,,,,,,, N 0 P2 0 GEOGRAPI TOWNS THE TH COL 0 25 5 coi 0 DLST ARE EN TO MET N, 3r,, di d*7 mm. - NOTES 1. BEARINGS ARE ASTRONOMIC A OF PART 5 PLAN 28 R 10940, H 2. PARTS 2 AND 3 HAVE SEEN SET Page 38 of 42 5 7-co,5, ti are- c 61i e,c4":5$<19 s.\/ ) Vcal;ammi A)61-4O L( 1 LcP # '<XIK /Vet-A.) b 3. ALL SHORELINE TIES SHOWN AI NOTED OTHERWISE. LEGEND 0 DENOTES PLANTED MON DENOTES FOUND MONUP SIB DENOTES STANDARD!RC SSIB DENOTES SHORT STAND IB DENOTES IRON BAR CM DENOTES C ONCRETE MO P1 DENOTES PLAN 28 R 109, P2 DENOTES PLAN 23 It 7291 P3 DEVOTES PLAN (1054) JA D I DENOTES INSTRUMENT N PLAN (1054) AUG. 1 1 /6 i

i K e W. B. COLLETT, 0. 0 L 0 ' s o e Tb' \ 0 LOT 2.6 1912 41' OV. 1727 ( ) \ \ PART 2 IS SUBJECT TO A RIGHT-C PART 3 IS SUBJECT TO A RIGHT-C /,11/ c,c3\c6 16.41' cb 147 8. 70.09 31161" G-)Q07 7 0 INSTRUMENT NO. 321889 132 C( GEOGRAPE TOVVNS1 THE TH COU 0 25 5C 4../mimms4 { 0 coil \ o N GILD NOTES DISTA ARE IN 1 TO METT N 1. BEARINGS ARE ASTRONOMIC AN OF PART 5 PLAN 28 R 10940, HA Page 39 of 42 00 vv ZA)/fY- /-0 5 Fee O. N \ 2. PARTS 2 AND 3 HAVE BEEN SET 3. ALL SHORELINE TIES SHOWN AR1 NOTED OTHERWISE. LEGEND DENOTES PLANTED MONU DENOTES FOUND MONUM. SIB DENOTES STANDARD IRO! SSIB DENOTES SHORT STANDA 18 DENOTES IRON BAR CM DENOTES CONCRETE MON P1 DENOTES PLAN 28 R 10941 P2 DENOTES PLAN 28 R 7290 P3 DENOTES PLAN (1054) JAN DI DENOTES INSTRUMENT NC PLAN (1054) AUG. 11/65 (

1I.cifrcA_ 70,1 j Page 40 of 42 --C.-411-Zed( /?Y0cA,--11

1248 Total Living Area 624 Main Level 624 Upper Level 3 Bedrooms 1 Full Bath(s) 1 Half Bath(s) 24' Wide x 26' Deep ( "71-6)/// bo 7- de r t///- j/v(avea_, A t) e07 4e. 4 i.t.(/-/ src7 Garage Type: None House Width: 24' House Depth: 26' Number of Stories: 2 Bedrooms: 3 Full Baths: 1 Half Baths: 1 301 Max Ridge Height:' from Front Door Floor Level Primary Roof Pitch: 0 Roof Framing: Truss 1$4=F4x4r-4,4aetesi@atkeA Foundation Type: Slab Page 41 of 42