Development Permit Application Form

This is not a Building Permit Application Form.
NO WORK OR CONSTRUCTION SHALL COMMENCE UNTIL A BUILDING PERMIT IS ISSUED PURSUANT TO APPLICABLE REGULATIONS.

This application is to be completed in full by the registered owner of the land or by an authorized person acting on behalf of the owner. Please meet with the Planning and Development Department prior to submitting your application.
Payment will need to be received at the County office in-person, cheque or e-transfer before application is considered complete

STATEMENT OF INTENT

I/We,

First Last

hereby make application to develop:

Signature

Date

APPLICANT INFORMATION

Applicant

Company

Email Address

Telephone

Alternate Telephone

Mailing Address

Street Address Town Province Postal Code

Registered Owner (if applicant is other than owner)

Company

Email Address

Enter Email Confirm Email

Telephone

Alternate Telephone

Mailing Address

Street Address Town Province Postal Code

PROJECT INFORMATION

Rural / Civic Address or General Location of Project Land

Legal Description

Lot/Block/Plan or Quarter/Section/Twp/Range

Certificate of Title

Detail the proposed use(s) of the building/site

Detail all proposed new buildings or structures on site

Estimated cost of project or contract price(Required)

Existing Total Site Area

Existing Total Floor Area

Proposed Total Site Area

Proposed Total Floor Area

Estimated Project Commencement Date

Estimated Project Completion Date

RIGHT OF ENTRY

I/We,

First Last

give consent to allow a person(s) designated by the Countythe right to enter and inspect the above land and/or building(s) with respect to this application only.

Signature

Date

RURAL ADDRESS SIGN REQUIREMENT

When a new building requires an address pursuant to the Rural Addressing Bylaw, the fees will be collected at the development permit approval stage. Such fees are established by the County’s Master Rates Bylaw and will be collected as appropriate.

ABANDONED WELL DECLARATION

Subject to the Alberta Energy Regulator Directive 079 the applicant is required to obtain confirmation of the exact location of any abandoned well and required setbacks from well from the Well Licensee. Please confirm the exact location of any abandoned well and required setbacks from well.

Abandoned well is

Present

Absent

Signature of Applicant

Date

If an abandoned well is present, please complete the declaration.

I/We,

First Last

have reviewed information provided by the Energy Resources Conservation Board (“ERCB”) as set out in ERCB Directive 079, Surface Development in Proximity to Abandoned Wells, and can advise that the licensee(s) responsible for all abandoned wells within the site of proposed development has been contacted in order to have the Abandoned Well Locating and Testing Protocol completed in accordance with ERCB Directive 079. To prevent damage to the well, a temporary identification marker will be placed on abandoned wells prior to construction, according to the confirmed well location(s) on site. The site of proposed development contains the following abandoned well(s):

List

ERCB Well License #

Licensee name

Licensed Surface Location

Contact Personnel Name

Phone number

CERTIFICATION AND SIGNATURE

Registered owner or person acting on their behalf

I, hereby certify that Ia) am the registered owner or b) am authorized to act on behalf of the registered owner(s), and that the information given on the form is complete and is, to the best of my knowledge, a true statement of the facts relating to this application.

Applicant’s Signature

Date

This information is being collected under authority of sections 33(a) and (c) of the Freedom of Information and Protection ofPrivacy Act. Your personal information will be used to process your application(s). Please be advised that your name, address, anddetails related to your permit may be included on reports that are available to the public as required or allowed by legislations. All personal information will be managed in compliance with the provisions of the FOIP Act. Questions about thecollection of this information can be directed to the Director of Corporate Services 780-694-3793.

ADDITIONAL APPLICATION REQUIREMENTS

The Development Permit Application must be complete prior to a decision being made. Below is a generalized list of requirements. The Development Officer may require additional informationper Land Use Bylaw No. 2019-06depending on the specific nature of the application. Please meet with the Planning and Development Department prior to submitting your application, to review the required information.
The application must include the following:

COMPLETED BY APPLICANT

Application fee –Please contact the Countyoffice to confirm the applicable fee. The fee must be paid in full at the time of application.

Site Plan/Real Property Report on 8 ½ X 11–all plans must be to scale

If the building/addition is greater than 47 m² (505.9 ft²) a map from the Alberta Energy Regulator (AER) identifying the locations of, or confirming the absence of, any abandoned oil or gas wells on or within 25 m (82 ft.) of the site boundary is to be included. Go to www.aer.cafor abandoned well location and status information.

Building elevations (north, east, west and south), including a description of the exterior finishing materials and a floor plan showing the layout on 8 ½ X 11 as required by the Development Officer.

Letter of authorization from the registered landowner (if applicant is other than owner).

Site Plan Shows

PLEASE NOTE THAT THIS IS AN APPLICATION FORM ONLY AND DOES NOT AUTHORIZE THE COMMENCEMENT OF DEVELOPMENT OR USE OF A BUILDING OR LAND. A SEPARATE DECISION NOTICE WILL BE ISSUED ONCE YOUR APPLICATION HAS BEENPROCESSED. PLEASE ALLOW 40 (FORTY) DAYS FOR THE PROCESSING AND ISSUANCE OF A DECISION ON YOUR APPLICATION.
PLEASE NOTE ALL DEVELOPMENT MUST BE COMMENCED WITHIN ONE YEAR OF RECEIVING A DEVELOPMENT PERMIT AND COMPLETED WITHIN TWO YEARS.

Site Plan Attachment Upload(Required)

Max. file size: 256 MB.

Additional Attachment Upload

Max. file size: 256 MB.

Unique ID