Application for Validation Order

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Ministry of Municipal Affairs and Housing Application for Validation Order Under Section 57 of the Planning Act Note to applicants: This application form is to be used where the Minister of Municipal Affairs and Housing has the authority to grant validation orders. In this form the term "subject land means the land for which a certificate of validation is sought. Completeness of the application For Help The application form sets out the information that will assist the Ministry and others in their planning evaluation of the application. To ensure the quickest and most complete review, this information should be submitted at the time of application. In the absence of this information, it may not be possible to do a complete review. As a result, the application may be refused. To help you understand the validation of title process and the information needed to make a planning decision on the application, refer to the Validation Application Guide. You can also call the Ministry of Municipal Affairs and Housing - Municipal Services Office at the numbers listed below and ask for the area planner. Northeastern Municipal Services Office Ministry of Municipal Affairs and Housing 159 Cedar Street, Suite 401 Sudbury, ON P3E 6A5 Submission of the application Telephone: (705) 564-0120 or Submissions must include: Toll free: 1-800-461-1193 Fax: (705) 564-6863 o One application form is required for each parcel to be validated o Any applicable fee as indicated by the attached Ministry s Fee Schedule Northwestern Municipal Services Office Ministry of Municipal Affairs and Housing 435 James Street South, Suite 223 Thunder Bay, ON P7E 6S7 Telephone: (807) 475-1651 or o Five copies of the completed application form Toll free 1-800-465-5027 (in the 807 area code) o Five copies of the sketch Fax: (807) 475-1196 The copies may be used to consult with other ministries or agencies that may have an interest in the application. Measurements must be in metric units. December 2007 1

Please print to complete and select appropriate box(es) (), as required. 1. Application Information 1.1 Name of present registered owner. Authorization from the present registered owner(s) is required in Section 12, if the applicant is not the owner. Name of owner(s) Home telephone no. Business telephone no. Address Postal code E-mail address 1.2 Agent/applicant: Name of the person who is to be contacted about the application, if different than the owner. (This may be a person or firm acting on behalf of the owner.) Name of contact person/agent Home telephone no. Business telephone no. Address Postal code Fax no. 1.3 a) Name of owner(s) immediately prior to transfer that may have contravened the Planning Act. b) Is the owner (s) in a) above available to sign a consent application? Yes If yes, an application should be made to the approval authority for a consent rather than a validation application. No If no, please explain why not? 2. Municipal By-Law 2.1 Is the land subject to the application located within a municipality? Yes No Property located in unincorporated territory If yes, did the municipality pass a by-law requesting the Minister to make a validation order? Yes No If yes, attach a copy of the by-law Attached Not attached 3. Location of the Subject Land 3.1 District Local municipality/unorganized township Former municipality Section or mining location no. Concession number(s) Lot number(s) Registered plan no. Lot(s) / block(s) Reference plan no. Part number(s) Municipal address Property identification number 3.2 Are there any easements or restrictive covenants affecting the subject land? Yes No If yes, describe the easement or covenant and its effect. Attach a separate page if necessary. December 2007 2

4. History of the Subject Land The following information is required to determine if a possible contravention of the Planning Act has occurred. 4.1 a) Most recent abstract(s) of title for parcel to be validated (subject land) and remaining parcel from the deed prior to the possible contravention of the Act. Attached? b) Chart showing chain of title. Attached? c) Copy of registered deeds to indicate the land transfers that have occurred from the time the possible contravention took place. Attached? d) Copies of any outstanding encumbrances (e.g. mortgages). Attached? e) Copies of any registered plans or reference plans for the subject and abutting lands. Attached? 4.2 Please explain below the events that caused the apparent contravention of the Planning Act. 5. Description and Servicing Information of Subject Land and Abutting Land (Complete each subsection below, where applicable.) Description 5.1 Frontage (m.) Depth (m.) Area (ha.) Parcel to be validated (subject land) Remaining parcel from the deed (prior to the possible contravention) 5.2 Use of Property Existing use(s) 5.3 5.4 Buildings or Structures Access Proposed use(s) Existing (date of construction) Proposed Provincial highway Municipal road, maintained all year Municipal road, seasonally maintained Other public road (e.g. local roads board) Right-of-way Water Access: if water access is proposed, describe in section10-other Information the parking and docking facilities to be used and the approximate distance of these facilities from the subject land and the nearest public road. December 2007 3

5.5 Water supply Publicly owned and operated piped water system Privately owned and operated individual well Privately owned and operated communal well Lake or other water body Other means 5.6 Sewage Disposal Publicly owned and operated sanitary sewage system Privately owned and operated individual septic system Privately owned and operated communal septic system Privy Other means 5.7 Other Services Electricity School bussing Garbage collection 5.8 If access to the subject land is by private road, or if other public road or right of way was indicated in section 5.4., indicate who owns the land or road, who is responsible for its maintenance, whether it is maintained seasonally or all year, or if it is a legal right-of-way. 6. Land Use 6.1 What is the existing official plan designation(s), if any, of the subject land? 6.2 What is the zoning, if any, of the subject land? If the subject land is covered by a Minister s zoning order, what is the regulation number? 7. Current Applications 7.1 Is the subject land currently the subject of a proposed official plan or official plan amendment that has been submitted to the Minister for approval? Yes No If yes and if known, specify the Ministry file number and the status of the application. 7.2 Is the subject land the subject of an application for a zoning by-law amendment? 7.3 Is the subject land the subject of an application for Minister s zoning order amendment? 7.4 Is the subject land the subject of an application for minor variance? 7.5 Is the subject land the subject of an application for consent? 7.6 Is the subject land the subject of an application for approval of a plan of subdivision? Note: Please provide lists of the relevant applications on a separate page and attach to this form. For those applications before the OMB, provide the OMB file number and status of the appeal. December 2007 4

8. Provincial Policy 8.1 All land use planning decisions must be consistent with the Provincial Policy Statement (PPS). Table A is a checklist to assist in identifying areas of provincial interest that may apply to your application. Please fill in the appropriate rows in Table A, if any apply. Table A Features Checklist Use or Feature An agricultural operation including livestock facility or stockyard An industrial or commercial use (specify the use(s) ) A landfill site (closed or active) A sewage treatment plant or waste stabilization pond A provincially significant wetland or coastal wetland A provincially significant wetland within 120 metres of the subject land Fish habitat Flood plain A rehabilitated mine site, abandoned mine site or mine hazards An operating or a non-operating mine site within 1 kilometre of the subject land On the Subject Land N/A Within 500 metres of the subject land, unless otherwise specified (indicate approximate distance) An active mine site or aggregate operation site within 1 kilometre of the subject land A contaminated site A provincial highway An active railway line A municipal or federal airport Utility corridors Crown lands 9. Sketch (Use the attached Sketch Sheet or attach a separate page) The application shall be accompanied by a sketch showing the following: the boundaries and dimensions of the subject land and abutting properties with ownership labelled; the boundaries and dimensions of any land owned by the owner of the subject land and that abuts the subject land, the distance between the subject land and the nearest township lot line or landmark such as a railway crossing or bridge; the approximate location of all natural and artificial features on the subject land and adjacent lands that, in the opinion of the applicant, may affect the application such as buildings, railways, roads, watercourses, drainage ditches, river or stream banks, wetlands, wooded areas, wells and septic tanks; the existing use(s) on adjacent lands; the location, width and name of any roads within or abutting the subject land, indicating whether it is an unopened road allowance, a publicly travelled road, a private road or a legal right-of-way ; if access to the subject land is by water only, the location of the parking and boat docking facilities to be used; the location and nature of any easement affecting the subject land and abutting lands. December 2007 5

10. Other Information Is there any other information that may be useful to the Ministry or other agencies in reviewing this application? If so, explain below or attach a separate page. 11. Affidavit or Sworn Declaration I, of the (Name) (municipality) in the province of, make oath and say (or solemnly declare) that the information contained in this application is accurate and that the information contained in the documents that accompany this application is accurate. Sworn (or declared) before me at the in the on this day of 20. Commissioner of Oaths Applicant 12. Authorizations 12.1 If the applicant is not the present registered owner of the land that is the subject of this application, the written authorization of the present registered owner that the applicant is authorized to make the application must be included with this form or the authorization set out below must be completed. Authorization of Owner for Agent to Make the Application I (we), am (are) the present registered owners of the land that is the subject of this application for a validation order and I (we) authorize to make this application on my (our) behalf. Date Signature of Owner(s) If the applicant is not the present registered owner of the land that is the subject of this application, complete the December 2007 6

12.2 authorization of the owner concerning personal information set out below. Authorization of Owner for Agent to Provide Personal Information I (we),, am (are) the present registered owner(s) of the land that is the subject of this application for a certificate of validation and for the purposes of the Freedom of Information and Protection of Privacy Act. I (we) authorize, as my/our agent for this application, to provide any of my (our) personal information that will be included in this application or collected during the processing of the application. Date Signature of Owner(s) 13. Consent of the Present Registered Owner Complete the consent of the owner concerning personal information set out below. Consent of the Owner to the Use and Disclosure of Personal Information I (we),, am (are) the present registered owner(s) of the land that is the subject of this certificate of validation application and for the purposes of the Freedom of Information and Protection of Privacy Act. I (we) authorize and consent to the use by, or the disclosure to, any person or public body of any personal information that is collected under the authority of the Planning Act for the purposes of processing this application. Date Signature of Owner(s) 14. Submission of application Date of application to the Ministry of Municipal Affairs and Housing The ministry will assign a file number for complete applications. Please use this number in future communication regarding the application. 15. Applicant s Checklist: Have you remembered to attach: Yes five copies of the completed application form? five copies of the sketch? the information required in Section 4? Forward to: Ministry of Municipal Affairs and Housing Ministry of Municipal Affairs and Housing Northwestern Municipal Services Office Northeastern Municipal Services Office 435 James Street South, Suite 223 159 Cedar Street, Suite 401 Thunder Bay, ON P7E 6S7 Sudbury, ON P3E 6A5 December 2007 7

16. Sketch Sheet Sketch Accompanying Application (Please use metric units and refer to Section 9) Key Plan N December 2007 8