Residential Development Application Checklist

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Residential Development Application Checklist Applicant s Authorization Form (if applying on behalf of the titled owner/s) Computer Generated Site plan showing all Required Information (as attached) Drainage Plan (see site plan requirements required for all applications unless otherwise noted) One set of Building Plans including floor plan and elevations maximum size 11 x 17 (Plans for additions must include existing and proposed floor plans) Photograph of Manufactured or Moved On Home Including a Floor Plan (if required) C.S.A Certification (For Modular or Manufactured Home if required) Photos of existing structures may be required Certificate of Land Title to be obtained from Alberta Registries Office within 30 Days of Date of Application. (Leduc County may pull at a Fee for Service) Province of Alberta Subdivision and Development Regulation Form (Dwellings only) Business Information Sheet (Home Occupations only) A Water Table Report is required < 10 acres Abandon Oil/Gas Wells AER Documentation Contact 1-855-291-8311 (www.aer.ca) Alberta Transportation Roadside Development Permit Application (If Required) http://www.transportation.alberta.ca/content/doctype329/production/rdpapp.pdf NAV Canada Land Use Proposal Submission Form (If Required) https://www.navcanada.ca/en/pages/search.aspx?k=forms Transport Canada Aeronautical Assessment Form (If Required) http://wwwapps.tc.gc.ca/wwwdocs/forms/26-0427e_1405-04_e.pdf Addressing Fee if required Development Permit Fee

FORM A Development Permit Application Land Use Bylaw No. 7-08 Residential COUNTY CENTRE Suite 101, 1101 5 th Street Nisku, Alberta T9E 2X3 Phone: 780-979-2113 or 1-800-379-9052 Fax: 780-955-8866 MO. DAY YEAR PERMIT NO. D - Legal Description 1/4 Sec Twp Rg W No. ac/ha Roll No. Lot Block Plan Subdivision/Hamlet Civic Address of Project: Rural Addressing Required: Yes No Applicant Phone 1 Address Phone 2 City/Town Postal Code Email Registered Landowner Phone 1 Address Phone 2 City/Town Postal Code Email Fax Fax Land Use District Permitted or Discretionary Is the Development within Leduc County Municipal Services Area (Water / Sewer) Yes No Existing Buildings and Land Use: Proposed Development: FOR OFFICE USE ONLY ft(²) m(²) ft(²) m(²) ft(²) m(²) Dwelling Type Area Height Addition Area Height Manufactured Home Accessory Building Addition Detached Garage Area Height Site Alteration Lot Grading/Infill Excavation Stockpiling Landscaping Modular Home Deck(s) Shop Signs Relocated Other Other Home Based Home (specify) (specify) Business Constructed on Type 1 2 3 Site The personal information contained on this form is collected pursuant to Section 32c of the Freedom of information and Protection of Privacy Act, Part 17 of the Municipal Government Act, and will be used for the purpose of application review and analysis and may include notification to various County or Provincial Departments or agencies; and adjacent landowners and/or municipalities in which the application and/or related correspondence is copied and circulated. The application process can be viewed on our website at www.leduc-county.com. If you have any questions about this collection, please contact the Planning and Development Department, Leduc County at (780) 979-2113. I/ we hereby make application for a development permit under the provisions of the Land Use Bylaw in accordance with the plans and supporting information submitted herewith and which form part of this application. Signature of Applicant: Signature of Applicant Printed Name of Applicant Signature of Owner: Revised February 27, 2017 Signature of Registered Landowner Printed Name of Registered Landowner

County Centre Suite 101-1101-5 Street, Nisku, Alberta T9E 2X3 Telephone: (780) 955-3555 Fax: (780) 955-8866 Applicant s Authorization I (we) (name of registered owners), being the registered owner(s) of (Legal Description of Property) do hereby authorize (individual person making application) to make application for development affecting the above mentioned property. Registered Owner(s) Name(s) Address Date Signature(s)

Leduc County Site Plan and Drainage Plan Requirements Site Plans Must be Computer Generated or X (n/a) A SITE PLAN MUST SHOW THE FOLLOWING: North Arrow Roadways and other transportation routes Location, identification and dimensions of all existing and proposed developments including but not limited to infill, excavations, landscaping features, buildings, additions, outdoor storage and decks. Development setbacks from at least two property lines Location of existing and proposed signs Location of existing and proposed approaches Location of existing and proposed rights of way, easements, pipelines, well sites and utility lines Location of water courses and water bodies including wetlands Location of vegetation including tree stands Area of any vegetation to be removed Development setbacks from the top of bank and lakeshores Location of proposed parking and loading as per Section 6.9 of the Land Use Bylaw Location of proposed landscaping as per Section 6.6 of the Land Use Bylaw Location of screening and fencing Other requirements as nessessary Drainage Plans: or X (n/a) A DRAINAGE PLAN MUST SHOW THE FOLLOWING: Drainage in and around the proposed development General lot drainage Multi Lot Subdivisions & Non Residential Uses drainage plans must be produced by a qualified person (Engineer or Legal Land Surveyor) Revised: June 12, 2018

160.12 m Decks: 4x3m & 4x4m Proposed Attached Garage: 10x9m Proposed Residence:i 11x13.5m- Deck: 2x10m E O> N j,... I I. I.9 ll _:.._ll-1---'--------------- 1 '9, 83.88 m Internal Subdivision Road LEGEND Access/Approach SITE PLAN Development Permit Application ( ) Slough/Low Land \..../, Dinage Course/Creek File Number: Treed Area D Building

PROVINCE OF ALBERTA SUBDIVISION AND DEVELOPMENT REGULATION Complete this form only if the development is residential, proposes overnight accommodation, is a public facility, is a food establishment, a school or hospital In order to expedite the review process, please answer the following questions with your application: Questions: (Please attach site plans to show each or all of the information) Check all spaces Questions to be answered by all applicants: For Office Use only: V (yes) (Actions required) X (no)? (not sure) Is any proposed permanent additional overnight accommodation or public facilities -- within 1 OOm of an oil or gas well head? S. 10(1 )(2) Is any proposed permanent additional overnight accommodation or public facilities -- -- within 1.5 km of a sour gas facility (including any well, battery, pipeline and plant)? S. 9(1) Is any proposed residential, food establishment, school or hospital building within 300 m of the working area of a sewage treatment plant? S. 12(3) Is any proposed residential, food establishment, school and hospital building site within 450 m of the working area of an operating or non-operating hazardous waste management facility or an operating sanitary landfill, modified sanitary -- landfill or dry waste site; or 300 m of the disposal area of an operating or nonoperating sanitary landfill, modified sanitary landfill, dry waste site or an operating waste processing site, waste storage site, waste sorting station or waste transfer station. S. 13(3) For Office Use only: (Results) In compliance with the Alberta Municipal Government Act and the Subdivision and Development Regulation, the above answers/information are provided as being accurate. I (We) understand that the County, Province and/or other review Agencies may require additional information from me (us) in their review of this application. Date Signature(s) of Applicant(s)

Development Permit Fees COUNTY CENTRE Suite 101 1105 5 th Street Nisku, AB T9E 2X3 Phone: 780-955-3555 Fax: 780-955-8866 DEVELOPMENT PERMITS Residential: - Dwelling $203.00 - Requiring Water Service $254.00/Lot - Extension & Accessory Buildings $127.00 - Home Based Business Types 1, 2, 3 (including RV Storage) $152.00 - Kennel License $56.00 Signs: - Awning, Canopy, Fascia, & Wall $228.00 - Other (Freestanding) $304.00 Other: - Commercial/Industrial $304.00 - Requiring Water Service $355.00/Lot Diamond Estates: - Architectural Design Approval $304.00 Rural Address Signage: - Rural Address Sign $ 94.50 (No internal subdivision road) (2 nd or 3 rd residences separate approach) - Rural Address Signs A & B (2 nd or 3 rd residences same approach) $ 23.10 Plus $11.00 for title search unless a current within 30 days title search is supplied; and $21.00 for a corporate search Notes: 1. The following applicants are exempt from the first $500.00 of total cumulative County application fees for development and safety code permits and subdivision approvals in any calendar year: a. Community Hall Association, Societies or Groups b. Agricultural Associations or Scoieties c. Religious Organizations Permit Fees are GST exempt P:\Development Application Forms & Templates\Applications & Forms Revised January 2, 2018