STRATA TITLE CONVERSION APPLICATION FORM

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2205 Otter Point Rd., Sooke B.C., V9Z 1J2 Tel: 250-642-1634 Fax: 250-642-0541 www.sooke.ca STRATA TITLE CONVERSION APPLICATION FORM DESCRIPTION OF PROPERTY Civic Address: Legal Description: Lot Block Section Plan Except Property Size: Existing Use: Proposed Use (# of new lots) APPLICANT S CONTACT INFORMATION - Please print clearly Check if APPLICANT is the sole OWNER, if not, complete Owner s Authorization Form Name Mailing Address City Province Postal Code Email Tel Cell Fax WASTE MANAGEMENT ACT: I, the applicant and/or owner, represent and warrant to the District of Sooke, knowing that the District of Sooke relies on this representation and warranty, that the property covered by this application has never, to the best of my knowledge having made due and diligent inquiry, been used for any purpose such that a site profile is required to be submitted under the British Columbia Waste Management Act and that the property is not contaminated or polluted in any way that would make it unlawful, unsafe or unsuited for the purpose for which it is to be used, including within the meaning of the British Columbia Waste Management Act. I have read and agree to the above paragraph (initial) WAIVER AND INDEMNITY: I, the applicant and/or owner, assume all risks incidental to this application and agree to release, save harmless and indemnify the District of Sooke and its officials, agents, servants and representatives, from and against all claims, actions, costs, expenses and demands with respect to the death, injury, loss or damage to persons or property arising out of or in connection with this application. I agree to conform to all applicable bylaws. I understand that no warranty is implied for the approval of this application and that this waiver and indemnity is binding on me, my heirs, executors and assigns. I have read and agree to the above paragraph (initial)

PROPERTY DETAILS Current Zoning: Current OCP Designation: Adjacent Land Uses: N S E W Within 30m of watercourse (stream, lake, wetland, etc.) or top of ravine bank? Within 15m of the high water mark of Sooke Harbour or Basin? Proposed Road Access: Proposed Water Supply Method: Proposed Sewage Disposal Method: Proposed Storm Drainage Method: Approximate Commencement Date of Proposed Project: FEES Strata Title Conversion $700 APPLICATION CHECKLIST LIST OF REQUIRED ITEMS 1. Title Search Provision of current (within 30 days) Certificate of Title as well as copies of all nonfinancial charges.

2. Copies of Proposed Layout An application for strata title conversion shall be accompanied by three (3) paper and one PDF copy of a sketch plan, drawn to a scale of 1:500, showing the following information as applicable: Legal description of the property; The dimensions of the property; The proposed strata lots, common property and limited common property; The distance from all property lines to the location of all buildings; The location, dimensions and plan numbers of any registered rights-of-way, easements and covenant areas existing on or adjacent to the lands under application; The location and names of any bodies of water; The location and names of any water courses within or adjacent to the lands; The location of all existing drainage courses/infrastructure both off-site and on-site; The distance and elevation of all existing and proposed buildings from any watercourses, wetlands, lakes and/or the sea The location and dimensions of any highway, public access, road, lane, walkway, trail or park reasonably adjacent to the parcels included in the application; Existing street and road names; The location of water connection or well; The location of septic tank and field or District of Sooke sewer connection; The location and dimensions of all parking and driveways. 3. Additional Requirements: 1. A B.C. Building Code Compliance Report prepared by an architect or other qualified professional. The compliance report shall define all deficiencies relating to the current BC Building Code and measures proposed to upgrade the building, or portions thereof, in order to satisfy the building department that the building will meet current levels of fire and health safety, as well as a minimum 10 year construction life expectancy. 2. For properties serviced by, or proposed to be serviced by an on-site septic system, a current (dated not more than 12 months prior to the date of application) compliance letter and septic report addressing the state of the septic system from a Registered Onsite Wastewater Practitioner. The District will request a letter of approval from the Vancouver Island Health Authority. OTHER ITEMS THAT MAY BE REQUIRED THROUGH THE STRATA CONVERSION PROCESS Please note that you may be required to provide additional information as identified through the review of your application: Drainage study; Geotechnical report; Environmental impact assessment report; Riparian Area Assessment report.

SIGNATURE FOR STRATA TITLE CONVERSION APPLICATION I/WE hereby declare that all of the above statements and information contained in the material submitted in support of this application are, to the best of my knowledge, true and correct in all respects. APPLICANT S SIGNATURE THIS APPLICATION IS MADE WITH MY FULL KNOWLEDGE AND CONSENT Where the applicant is not the, the application must be signed by the. Please note that ALL registered owners must sign the application form.

Owner s Authorization Form All property owners registered on the Certificate of Title must provide written approval to allow the APPLICANT to act on their behalf., is hereby authorized to act as my agent for the purpose of, located at: Street Address: Legal Description: Lot Block Section Plan Except 1 2 3