APPLICATION FOR SUBDIVISION APPROVAL Summary of Application Review & Approval Process and Application Form April 1, 2009

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Land Planning Branch, (K-320LP) Phone 667-8877 Fax 393-6340 APPLICATION FOR SUBDIVISION APPROVAL Summary of Application Review & Approval Process and Application Form April 1, 2009 THE SUBDIVISION APPLICATION, REVIEW AND APPROVAL PROCESS Introduction If you are proposing to subdivide or change the surveyed boundary of your property, you must first get approval to do so from the appropriate authority. In Yukon, this includes either: 1. Yukon Government, Subdivision Approving Officer (for Subdivision Approval anywhere in Yukon, other than in Whitehorse or Dawson City) or; 2. City of Whitehorse (for Subdivision Approval within City of Whitehorse) or; 3. City of Dawson (for Subdivision Approval within Dawson City) This application form deals only with subdivision approvals that fall under the jurisdiction of the Yukon Government. (If your property is within either City of Whitehorse or Dawson City, you must contact that respective agency) If you are considering subdivision, you should first discuss the preliminary proposal with Land Planning Section (see address below). They can explain the subdivision approval process. They can also review your preliminary proposal and help determine if it is feasible for you to apply to subdivide your land. There are a number of factors that may determine if subdivision of your land is possible (physical site characteristics, access, utilities, land planning and zoning etc.) If you decide to proceed with making a formal Subdivision Application, please read all information and ensure that the attached application form is complete, and is submitted with all sketches, fees and other required information. PROCESS, FEES & ACCESS TO INFORMATION Subdivision Application Process & Fees Please make sure you carefully read and fully complete the attached application form. Also ensure that you submit all other required information & documentation. You must pay a non-refundable application processing fee of $100.00 + $5.00 gst. Your Subdivision Application will first be reviewed by Land Planning Section to ensure that it is complete and that it complies with applicable legislation and bylaws. Your application is then sent to a number of government & community agencies for technical review and may include a public notice. After the review is completed, your application is then forwarded to the Subdivision Approving Officer, who will approve, approve with conditions or deny the application. You will receive a formal notice of this decision. It may take up to 90 days from the time your application is accepted until a decision is made, (although straightforward or uncomplicated subdivision requests are typically processed in a shorter period) If your application is approved, you then would hire a lands surveyor of your choice and would have up to one year to have the legal survey completed & registered. Upon final approval of the survey, you are required to pay a $100.00 (+gst) approval fee, for each additional lot that has been created, to a maximum of $1000.00. For instance, if you begin with a single lot and it is divided into three new lots, you would be required to pay an approval fee of $200.00 + gst (for the 2 additional lots created). In some cases there may be specific conditions attached to an approval. For instance, a Development Agreement may be required where there is a need for the applicant to construct road access, utilities or services to the newly created lots. If your application is denied or if you do not agree with any conditions that have been imposed on an approval, there are provisions for you to appeal the decision. If you have any questions about the Subdivision process, please contact Land Planning. Access to Information & Protection of Privacy Act The information contained in a subdivision application will be provided to various government & community agencies for technical review. It may also be made available, upon request, to other interested parties or individuals. YG(5370Q)F5 09/2009

OTHER AGENCIES & DEPARTMENTS (Office Use Only) The following is a list of agencies or responsible authorities that deal with related permitting & authorizations. Based on information provided in your application, it is suggested that you contact the indicated agencies as further approvals may be required: Yukon Government, Land Planning Branch Energy Mines and Resources 320-300 Main Street Whitehorse, Yukon Y1A 2B5 (867) 456-3827 fax 393-6340 City of Whitehorse, Planning Services Municipal Services Blg., 4210 4 th Avenue (mail) c/o 2121 2 nd Avenue, Whitehorse, Yukon Y1A 1C2 (867) 668-8335 fax 668-8395 City of Dawson Box 308, Dawson City, Yukon, Y0B 1G0 (867) 993-7400 fax 993-7434 Yukon Government, Community Services, Building Safety Main Administration Blg., 2071 Second Avenue (867) 667-5741 fax 393-6249 Yukon Government, Environmental Health Services #2 Hospital Road, Whitehorse, Yukon Y1A 3H8 (867) 667-8391 fax 667-8322 Yukon Government, Highways and Public Works Transportation Maintenance 9029 Quartz Road, Building 275 (867) 667-5159 fax 667-3608 Yukon Government, Highways and Public Works Transportation Engineering 461 Range Road c/o (867) 633-7905 fax 393-6447 The Yukon Electrical Company Limited 205 Tungsten Rd. PO Box 4190 Whitehorse Yukon Y1A 3T4 (867) 633-7068 fax 668-6692 Other: Information on existing Planning and Zoning Subdivision Approval (outside Whitehorse or Dawson) Info on OCP & zoning in Whitehorse Development and Subdivision Approval within City of Whitehorse Info on planning & zoning in Dawson City Sub Approval in Dawson City Building & Plumbing Permits, (outside Whitehorse or Dawson) Electrical, Gas, Boiler Permits (all Yukon) Development Permits (Outside Municipalities) Septic / in-ground sewage installations Permit for restaurant / food service. Access permits (access onto Yukon Highways) Work within R-O-W permits Road & Access design criteria Hydro installations Location of underground & overhead lines. RECEIPT OF COMPLETED APPLICATION FORM (TO BE COMPLETED BY DEPARTMENT) INITIALS APPLICATION INFORMATION COMPLETE 3 copies of SKETCH PLAN COMPLETE OTHER INFORMATION: (property taxes paid, certificate of title) APPLICATION FEE PAID ($100.00 +$5.00 gst = $105.00) Receipt # CONFIRMATION & RECEIPT COMPLETED APPLICATION ACCEPTED Received By: Date Rec d: Unless a time extension is otherwise agreed to by both the applicant and Subdivision Approving Officer, a decision to Approve, Conditionally Approve or Deny this application will be made on or before: Date: (within 90 days) SUBDIVISION APPROVAL FEE: If this application is approved, you will be required to pay a Subdivision Approval Fee of $ (+$ gst), based on additional lots being created. PLEASE RETAIN THIS FOR FUTURE INFORMATION & REFERENCE Notes:

Application / File No. Quad / Location Land Planning Branch, (K-320LP) Phone 667-8877 Fax 393-6340 APPLICATION FOR Subdivision Approval Date Rec d Municipality or Jurisdiction Department Use Only Due Date NAME OF REGISTERED OWNER OF LANDS BUSINESS PHONE / FAX HOME PHONE NAME OF REGISTERED CO-OWNER OF LANDS BUSINESS PHONE / FAX HOME PHONE NAME OF PERSON OR AGENT AUTHORIZED TO ACT ON OWNER(S) BEHALF BUSINESS PHONE / FAX HOME PHONE GENERAL LOCATION OF APPLICATION LAND / PROJECT GENERAL INFORMATION LEGAL DESCRIPTION OF LANDS INCLUDED IN THIS APPLICATION,,,,. LOT NUMBER(S) BLOCK/GROUP/QUAD SUBDIVISION / AREA CLSR PLAN # LTO PLAN # CIVIC ADDRESS OF LANDS INCLUDED IN THIS APPLICATION (if applicable) STREET ADDRESS NO. STREET / AVENUE NAME CITY / TOWN / COMMUNITY WAS THE LAND GRANTED ON THE BASIS OF A LEASE OR AN AGREEMENT FOR SALE A CONDITION OF WHICH WAS THAT THE LESSEE OR PURCHASER WAS TO USE THE LAND FOR AGRICULTURAL PURPOSES OR FOR AGRICULTURAL AND OTHER PURPOSES? YES NO EXISTING USE(S) OF THE APPLICATION LANDS RESIDENTIAL COUNTRY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL UTILITY OTHER: EXISTING USE(S) OF ADJACENT LANDS RESIDENTIAL COUNTRY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL UTILITY OTHER: PROPOSED USE(S) OF THE APPLICATION LANDS RESIDENTIAL COUNTRY RESIDENTIAL COMMERCIAL INDUSTRIAL INSTITUTIONAL UTILITY OTHER: GENERAL NATURE OF SUBDIVISION REQUEST DIVISION OF EXISTING PARCEL, INTO 2 OR MORE LOTS CONSOLIDATION OF 2 OR MORE LOTS INTO 1 ADJUSTMENT OF AN EXISITNG LOT LINE PROPOSED RESIDENTIAL or COUNTRY RESIDENTIAL LOTS PROPOSED COMMERCIAL, INDUSTRIAL OR OTHER LOTS PROJECT INFORMATION NUMBER OF EXISTING LOTS NUMBER OF PROPOSED LOTS TOTAL SIZE OF ALL APPLICATION LANDS MINIMUM PROPOSED LOT SIZE (meters sq. or hectares) (meters sq. or hectares) NUMBER OF EXISTING LOTS NUMBER OF PROPOSED LOTS TOTAL SIZE OF ALL APPLICATION LANDS (meters sq. or hectares) MINIMUM PROPOSED LOT SIZE (meters sq. or hectares) EXPLAIN FULLY WHY YOU WISH TO SUBDIVIDE THIS LAND, FOR WHAT PURPOSE IT WILL BE USED & THE EXPECTED DEVELOPMENT TIME FRAME (attach separate sheet if necessary)

SERVICES EXISTING / PROPOSED PROVISION FOR DRINKING WATER: EXISTING / PROPOSED PROVISION FOR SEWAGE TREATMENT / DISPOSAL: EXISTING / PROPOSED PROVISION FOR DISPOSAL OF GARBAGE / SOLID WASTE: EXISTING / PROPOSED PROVISION FOR ELECTRICITY: EXISTING / PROPOSED PROVISION FOR TELEPHONE, OTHER UTILITIES ETC.: ARE THERE ANY OVERHEAD OR UNDERGROUND UTILITIES LOCATED WITHIN OR ADJACENT TO THE APPLICATION AREA? NO IF YES, ARE THE APPLICATION LANDS SUBJECT TO ANY EXISTING EASEMENTS? IS APPLICATION AREA PRESENTLY SERVED BY AN ESTABLISHED FIRE DEPARTMENT?: NO IF YES, GIVE NAME / LOCATION OF FIRE DEPT: LOCATION OF & DISTANCE TO NEAREST SCHOOL & SCHOOL BUS ROUTE (where applicable): EXISTING / PROPOSED PROVISION PARKS, OPEN SPACE OR OTHER RECREATIONAL AMENITIES: ACCESS EXISTING / PROPOSED PROVISION FOR VEHICLE ACCESS TO SITE (Will any new access be required, connecting to an existing public road or highway?): WILL NEW ROAD BE SURVEYED AND CONSTRUCTED AS PART OF THIS SUBDIVISION PROPOSAL? NO IF YES, FULLY EXPLAIN THE NATURE OF THE ACCESS, AND IF / HOW OTHER USERS OF ACCESS MIGHT BE AFFECTED: IMPROVEMENTS / STRUCTURES ARE THERE ANY EXISTING IMPROVMENTS LOCATED ON THE APPLICATION AREA (buildings, fences, septic fields, wells, gardens etc)? NO IF YES Is the applicant the sole owner of these improvements? Does the subdivision layout respect the location of any permanent structures? SITE CHARACTERISTICS SOILS (sand, gravel, clay, silt, peat etc): VEGETATION (spruce, pine, poplar, willow, clear etc): TOPOGRAPHY (flat, steep, rolling, etc): WATER COURSES & SITE DRAINAGE (rivers, streams, lakes, ponds, drainage ditches within or adjacent to the application area) ANY KNOWN SIGNIFICANT HISTORICAL OR HERITAGE FEATURES ON OR NEAR THIS SITE: ANY KNOWN SIGNIFICANT FISH OR WILDLIFE HABITAT ON OR NEAR THIS SITE: LAND USE PLANNING & ZONING (Community Land Planning, may provide assistance if current zoning information is not known)(call 667-8945) CURRENT ZONING OF APPLICATION LANDS NO ZONING URBAN RESIDENTIAL COUNTRY / RURAL RESIDENTIAL COTTAGE COMMERCIAL INDUSTRIAL OTHER NAME OF APPLICABLE ZONING BYLAW OR REGULATION: CURRENT PLANNING DESIGNATION OF APPLICATION LANDS NONE URBAN RESIDENTIAL COUNTRY / RURAL RESIDENTIAL COTTAGE COMMERCIAL INDUSTRIAL OTHER NAME OF APPLICABLE COMMUNITY OR LOCAL AREA PLAN:

REQUIRED ADDITIONAL INFORMATION (the following information must be submitted with all applications) SKETCH PLAN Please provide 3 copies of a sketch plan, drawn at a legible scale, showing the scheme of the proposed parcel configuration. Including the following information: 1. Title Block (giving description of application lands) 2. Arrow indicating North 3. Drawing scale 4. Existing lot numbers of any adjacent lands 5. Configuration / Location of proposed (and adjacent existing) parcels of land 6. Dimensions and Bearings for all proposed and existing lot lines 7. Roads, trails, pathways located on or near the application area 8. Water bodies, drainage courses located on or near the application area 9. Location of existing or proposed improvements on or near the application area 10. Existing or proposed utilities (electrical, water, sewer etc.) 11. Signature Block for endorsement of Subdivision Approving Officer 12. Signature Block for endorsement of Commissioner of Yukon. OWNERSHIP / TITLE 1. Copy of Certificate of Title 2. Copy of any caveats or encumbrances registered against the Title PROOF OF PROPERTY TAXES PAID 1. Written verification from the appropriate taxing authority that all property taxes have been paid on the core parcel(s) being enlarged ADDITIONAL INFORMATION (the following information must be submitted, depending on nature of request) OTHER INFORMATION, ASSESSMENTS OR APPROVALS MAY BE REQUIRED ADDITIONAL SUBMITTAL INFORMATION Depending on the nature, magnitude or location of any given application, an applicant may be required to undertake and provide further studies or assessments. This may include, but is not limited to such things as: environmental impact assessments, fisheries studies, geotechnical investigations, further public consultation etc. IF THE APPLICATION IS WITHIN THE BOUNDARIES OF A MUNICIPALITY- Please provide written confirmation from that Municipality that either: - the proposed use is in compliance with existing planning and zoning schemes, or - the proposed use is not currently in compliance with existing planning or zoning, but will be considered through an established public zoning / planning amendment process. DEVELOPMENT REQUIREMENTS (subdivision applications may include conditions requiring certain work to be performed) DEVELOPMENT AGREEMENTS & SECURITY In some cases, public infrastructure included in subdivisions will be transferred and become the responsibility of the government or municipality. This includes such things as roads, streets, parks, public utility lots, water & sewer services etc. To ensure that subdivisions are developed to accepted standards, there may be a requirement for a Development Agreement to be entered into between the parties. This Development Agreement may include the provision for the applicant to post performance security. PRIVACY Please Read the Following: Access to Information & Protection of Privacy Act This information is being collected under the authority of the Subdivision Act & Municipal Act to be used for the purpose of reviewing the request to subdivide land. This information is about the conduct of public business and it cannot and will not be kept confidential. Except as noted below, it will be shared with other government departments and will be treated as information that third parties have the right to under the Access to Information and Protection of Privacy Act. Your phone number and address and business plan information will be treated as confidential, but might still be disclosed as permitted or required by the Access to Information and Protection of Privacy Act. (There are cases where even confidential information can be disclosed). APPLICANT / OWNER CONSENT I / we certify that I am / we are the registered owner(s) of the land described in this application. I / we certify that all of the submitted information is true and correct to the best of my knowledge and belief. I / we understand that any misrepresentation of submitted data may invalidate any approval of this application. SIGNATURE X Date: X Date: