APPLICATION. Fee Simple Subdivision Bare Land Strata Conversion of Existing Building into Strata Units

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385 Birch Avenue P.O. Bx 340 100 Mile Huse British Clumbia Canada V0K 2E0 T: 250.395.2434 F: 250.395.3625 E: district@dist100milehuse.bc.ca APPLICATION Fee Simple Subdivisin Bare Land Strata Cnversin f Existing Building int Strata Units Applicants are advised t cnsult with the District f 100 Mile Huse Planning staff befre submitting an applicatin. Please cnsult the Subdivisin Applicatin & Develpment Guide. **This applicatin will nt be accepted unless it is cmplete and the required fee(s) and plans are attached** APPLICATION TYPE Check apprpriate bx(s) Fee Simple Subdivisin --------------------------------------------------------------------------- Fee $ Bare Land Strata ------------------------------------------------------------------------------------Fee $ Cnversin f Existing Building int Strata Units ---------------------------------------------Fee $ Ttal Fee$ PROPERTY INFORMATION Legal Descriptin f Prperty(s): Civic Address f Prperty(s): Size f Prperty(s): Current Zning: BC Assessment Rll N.: Current OCP Designatin: Develpment Permit Area (if applicable): Current Number f Lts: Intended Use: Prpsed Number f Lts: Is Prperty in the ALR? FOR OFFICE USE ONLY Applicatin Fee Paid: $ Receipt Number: Received By Date: U:\Templates\Planning Frms & Templates\Subdivisin Applicatin.dc

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 INFORMATION FORM 2 APPLICANT/AGENT Name: Mailing Address Pstal Cde: OWNER(S) Name: Mailing Address: Pstal Cde: Phne Numbers: (Bus): Phne Numbers: (Bus): (Hme): (Hme): (Fax): (Fax): E-mail: E-mail: If the applicant is nt the registered wner, cmplete the wner infrmatin and have the prperty wner(s) sign the applicatin frm. Nte als the wner requirement in Attachment I. As wner(s) f the land described in this applicatin, I/we hereby authrize t act as applicant in regard t this land develpment applicatin. Signature: Date: Signature: Date: I have attached the required dcumentatin as nted n the Applicatin Submissin Checklist, alng with the required applicatin fee and hereby agree t submit further infrmatin deemed necessary fr prcessing this applicatin. Furthermre, I hereby acknwledge that any fees paid are nn-refundable except as nted n the fee schedule, if applicable. I als cnfirm that the infrmatin cntained herein is crrect t the best f my knwledge and belief. I understand this applicatin, including any plans submitted, is public infrmatin. I authrize reprductin f any plans/reprts fr the purpses f applicatin prcessing and reprting. I further declare that all subdivisin wrks will be cmpleted in cmpliance with the current District f 100 Mile Huse Subdivisin and Develpment Servicing Bylaw and amendments theret. Signature: Date: I/We agree t allw the agents f the District f 100 (Applicant s Name) Mile Huse t enter nt the subject prperty t inspect the land and buildings. A cpy f a State Title f Certificate, r a cpy f a Certificate f Indefeasible Title, dated n mre than thirty (30) days prir t submissin f the applicatin must accmpany the applicatin as a prf f wnership. Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 3 DESCRIPTION OF EXISTING LAND USE: (use separate sheet if necessary) DESCRIPTION OF PROPOSED DEVELOPMENT/USE: (use separate sheet if necessary) Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 4 Services Currently Existing r Readily Available t the Prperty (check applicable area) Services Currently Existing Readily Available* YES NO YES NO Rad Access Water Supply Sewage Dispsal Hydr Telephne Schl Bus Service NOTE: *Readily available means existing services can be easily extended t the subject prperty. Prpsed Water Supply Methd Prpsed Sewage Dispsal Methd Apprximate Cmmencement Date f Prpsed Prject Reasns in Supprt f Applicatin Reasns and cmments in supprt f the applicatin (use separate sheet if necessary) Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 5 Maps and Drawings: The fllwing maps and drawings must accmpany the applicatin: 1. A dimensinal Sketch Plan drawn t scale shwing the parcel(s) r part f the parcel(s) and the lcatin f existing buildings, structures and uses. Minimum size required: 11 x 17 (ledger size) 2. A dimensinal Site Plan drawn t scale shwing the prpsed use, buildings and structures, elevatins, highway access etc. Minimum size required: 11 x 17 (ledger size) 3. A Cntur Map (Plan) drawn t scale with cntur interval f up t n mre than 10 metres, if warranted by the tpgraphic cnditin (f the subject site). Required: Yes N FOR OFFICE USE ONLY Applicatin Frm Cmplete Dimensined Sketch Plan Submitted Applicatin Fee Received Dimensined Site Develpment Plan Submitted Certificate f Title Received Cntur Map Submitted Authrizatin f Owner Submitted (if applicable) Other studies/reprts Submitted (if applicable) Site Prfile / Declaratin Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 6 DEVELOPMENT APPLICATION SUBMISSION CHECKLIST DEVELOPMENT APPLICATION TYPE Subdivisin Applicatin Bare Land Strata Applicatin Cnversin f Existing Building int Strata Units REQUIRED ATTACHMENTS* A, B, C, D, E, I, J A, B, C, D, E, I, J A, B, C, D, E, F, H, I *Required attachments as described in the Develpment Applicatin Attachment Infrmatin Table that frms part f this applicatin frm NOTE: All applicatins may be subject t G DEVELOPMENT APPLICATION ATTACHMENT INFORMATION ATTACHMENT A. STATE TITLE OF CERTIFICATE DETAILS A cpy f the title, issued nt mre than 30 days prir t the applicatin date, fr any parcel f land subject t the applicatin and a cpy f all nn-financial charges (i.e. restrictive cvenants, easements and right-f-ways, etc.) registered n the subject prperty(s). A cpy f the title and the related dcuments can be btained frm a registry agent (www.bcapra.rg), real prperty lawyer, ntary public, land surveyr, r by signing up fr a myltsa accunt at www.ltsa.ca. B. AGENT AUTHORIZATION C. APPLICATION FEE D. SITE PLAN Written cnsent f all prperty wners, with ne r mre wners appinting an applicant t act as agent fr all purpses assciated with the applicatin. An applicatin fee as set ut in Schedule A f Land Use and Develpment Applicatin Prcedures and Fees bylaw N. 1258, 2013 shall accmpany the applicatin. Site plan f the prpsed develpment drawn t scale and shwing dimensins. The site plan must include: The civic address and full legal descriptin f the prperty; Lt dimensins Existing r required rights-f-way r easements; the name and extent f rads and lanes adjacent t the prperty, shwing the traveled prtin f the rads and lanes scaled frm the prperty line t the edge f pavement; Lcatin and dimensins (including setbacks) f existing and prpsed buildings and structures n the site (a recent survey plan is preferable) Lcatin f existing wells r ther water surces n prperty. Lcatin f any existing r prpsed septic fields Lcatin f any watercurses, steep banks r slpes n r adjacent t the prperty Lcatin f any existing cmmunity services f sanitary sewer, water, strm drainage and rights-f-way n the site r adjacent t the site Lcatin f ditches, fire hydrants, fire department cnnectins, gas lines, kisks, hydr and telecmmunicatins ples Submissin must include ne small scale (8/12 X 11 ) cpy f the prpsed site plan. Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 7 ATTACHMENT E. DEVELOPMENT PLANS DETAILS Detailed drawings f the prpsed develpment, including building sectins, elevatins and flr plans prpsed fr the site. Develpment Permit applicatins must include infrmatin regarding building frm and character (i.e. exterir finish) A prject summary sheet utlining grss site area, density and number f dwelling units, site cverage, heights, setbacks, ff-street parking (required and actual), ff-street lading (required and actual) and ther relevant data Lcatin and width f existing r prpsed access (es) t the prperty, driveways, maneuvering aisles and parking layut F. LANDSCAPE PLAN Site plan draw t scale and shwing dimensins, including any existing r prpsed screening, landscaping and fencing Cst estimate prepared by a Landscape Architect r ther persns apprved by the Planning Department including a breakdwn f plant cst, site preparatin, material and labur csts. G. ADDITIONAL INFORMATION THAT MAY BE REQUIRED Cntur plan shwing land cnturs befre and after lt grading fr the subject prperty and the adjacent prperties Getechnical analysis Survey certificate t identify the lcatin f existing buildings/structures r watercurses, tp f banks f ther physical features Lcatin f existing r prpsed refuse enclsures, refuse and recycling bins Architectural rendering drawing which depicts the design, finish and clur f prpsed buildings, landscaping detail and signage lcatin. Renderings must nt be embellished with unrelated details such as vehicles, wildlife, muntain, etc. Signage plans fr free standing and fascia canpy r prjecting signs, including the lcatin, dimensins, height, materials and ttal sign area fr each sign Preliminary traffic assessment Archelgical survey Agricultural Land Cmmissin apprval Envirnmental reprt H. CONVERSION OF EXISTING BUILDINGS INTO STRATA UNITS Site plan shwing building ftprint, dimensins frm the clsest building face t all prperty lines, lcatin f sidewalks, n-site parking stalls (including dimensins), driveways, dumpster lcatin, recreatinal vehicle strage (if applicable), existing landscaping and any exterir amenity spaces. Small-scale develpments the initial plan submissin may be hand-drawn if the plan is legible, drawn with a straight edge and drawn t scale. The secnd submissin will be a survey certificate prduced by a registered surveyr. Large-scale develpment site plans shall be drafted by a prfessinal surveyr r engineering firm. Submissin must include ne small scale (8/12 X 11 ) cpy f the prpsed site plan. Prpsal fr Tenant Relcatin a written statement f hw the applicant intends t cmply with the Residential Tenancy Act and any Handcrafted Lg Hme Capital f Nrth America

Reference t Land Use Applicatin Prcedure and Fees Bylaw N. 1258 8 ther infrmatin that is relevant n the matter. Building Reprt a written reprt by a Prfessinal Engineer r Architect that prvides a BC Cde review that specifically addresses: fire separatin, sundprfing, structural integrity, and mechanical review. The reprt shuld als include infrmatin n the building s state f repair, general wrkmanship, life expectancy, prjected majr increases in maintenance csts due t the cnditin f the building(s), and assessments f the cnditin f the rf and exterir and interir surfaces and details f the building. Evidence f ntificatin t tenants Caretaker s Declaratin (if applicable) I. SITE PROFILE Cmpleted Schedule 1 Site Prfile if any Schedule 2* activities have ccurred n the site. If nne, prperty wner t prvide a signed and dated declaratin stating such. *As per the Envirnmental Management Act, Cntaminated Sites Regulatin J. PARKLAND OR MONEY FOR PARKLAND Pursuant t the Lcal Gvernment Act and the District f 100 Mile Huse Subdivisin and Develpment Servicing Bylaw the subdivider is required t prvide t the District withut cmpensatin, parkland r mney fr parkland nt exceeding 5% f the land r the land value being subdivided. Handcrafted Lg Hme Capital f Nrth America