HomeMy WebLinkAbout2022 Committee of Adjustment - Application for Minor Variance (Zoning)2022Page 1of 6
COMMITTEE OF ADJUSTMENT
APPLICATION FOR MINOR VARIANCE (ZONING)
(Section 45 of the Planning Act)
th
Planning Division –200 King Street West, 6Floor
P.O. Box 1118, Kitchener ON N2G 4G7
519-741-2426; planning@kitchener.ca
Office Use Only:
SUBMISSION NUMBER: A(to be assigned by staff)
1.ADDRESS OF SUBJECT PROPERTY:
Have you previously consulted with staff on this application?
If yes, name and date of consultation:
2.FOR YOUR INFORMATION:
Date Stamp
It is recommended to consult with staff prior to submitting your form. Applicationswill not be accepted as
complete unless all legislated requirements have been met and will not be processed until all necessary
information has been provided.
Committee of Adjustment is a public process. Applications will be circulated to public agencies for
comment. Notice of the meeting will be circulated to property owners within 30 metres of the subject
property, advertised in the local newspaper and a City-issued notification sign posted on the property. All
parties are given the opportunity to provide written comment or attend the meeting, either in support or
opposition of the application, or to appeal a subsequent decision of the Committee of Adjustment.
The owner and/or agent must attend the Committee meeting in support of their application. Information
on the meeting date/time will be forwarded to the applicant. A deferral fee will apply onapplications
requiring re-circulation for failure to attend meeting or requesting postponement.
This is YOUR application -make sure that you know the exact details of why you are applying. It is your
responsibility to provide a complete and accurate application. Staff areavailable for consultation, but they
arenot permitted to complete the formon your behalf.
3.SUBMISSION REQUIREMENTS:
Complete applications shallbe submitted by email to planning.applications@kitchener.ca(maximum 10 MB).
Original, signed& commissioned applicationform, including plans, and cheque(payable to the City
of Kitchener) mustbe deliveredtoCity Hall-Planning Division,Attention: Manager of Development Review,
within one week of the digital submission deadline(you may send by mail, courier or drop off in person).
Application form(completed and signed)
Written authorization ofthe owner(s) is required if the application is signed by an agent on their behalf.
Affidavit –applicant’s signature has been witnessed and form signed by a commissioner, notary or lawyer
(if you require commissioning services, please make an appointment with City staff at:
https://outlook.office365.com/owa/calendar/CityofKitchenerServiceCounters@kitchener.ca/bookings/
-select “Planning: Commissioner Signature for Development Application Affidavit”)
Copy of survey or a detailed drawing, including all information as noted in Section 4 below
If the site is located within a Source Protection Area, provide a copy of the Notice of Source Protection Plan
Compliance (Section 59 Notice) obtained from the Regional Municipality of Waterloo. For more information,
visit the Region’s website at:http://www.regionofwaterloo.ca/sourceprotection
Application fee of$1,315.00(non-refundable)
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4.PLANS–please include the following information:
Boundaries and accurate dimensions of the subject landand all measurements must be shown in metric
and to scale.
Size, location and type of all existing and proposed buildings, structures or additions on the subject land,
measured from the front, rear and side lot lines.
Location, width and name of any roads within or abutting the subject land, including all driveways and
parking spaces.
Identify any natural features on the subject land (trees, streams, etc.).
It is very important to be as accurate as possible, as anydeficiencies may delay consideration of
your application.
5.REGISTERED OWNER(S)
Name(s):Phone:
Company (if applicable):Extension:
Street Address:Email:
City/Province:Postal Code:
6.AUTHORIZED AGENT (if different from registered owner)
Name(s):Phone:
Company (if applicable):Extension:
Street Address:Email:
City/Province:Postal Code:
7.PROPERTY INFORMATION
a)Street Address:
Closest Intersection:
Legal Description (from Survey or Plan):
Lot(s) No:Registered Plan No.:
Lot(s) No:Reference Plan No.:
Part(s) No:
b)Date of acquisition by current owner:
Date of construction of all buildings/structures:
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c)Existing use(s) of subject land:
Proposed use(s) of subject land:
d)Type of Road Access: Public Private
e)Municipal services available:
Water:Yes
No Sanitary Sewer:Yes No
Storm Sewer:Yes No Private Well:Yes No
Septic:Yes No
8.PARTICULARS OF ALL BUILDINGS AND STRUCTURES EXISTINGORPROPOSED ONTHE SUBJECT
LANDS
ExistingProposed
Ground Floor Area (incl.garage)
Gross Floor Area (all floors)
Number of Storey(s)
Width
Length
Height
9.PLANNING INFORMATION
a)Official Plan designation:
Zoning Category:
b)Has the owner previously applied for a variance in respect to this property:YesNo
If yes, describe:
c)Is the subject property the subject of a current Consent (severance) application: YesNo
d)Is the subject property currently undergoing Site Plan Approval:YesNo
e)Does the property have any Heritage Status:YesNo
If yes, please check below:
Inventory Listed Part IV (Individual) Part V (District) Easement/Agreement
f)Does the property have any significant environmental features:YesNo
If yes, indicate:Woodlot Wetland Valleyland Other:
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10.ZONING REVIEW(chart must be completed in its entirety, in metric)
Development StandardBy-law RequirementProposed/ProvidedVariance
Lot Area (sq.m.)
Lot Width
Front Yard Setback
Left Side Yard Setback
Right Side Yard Setback
Rear Yard Setback
% Lot Coverage
Height of Building
Accessory Building
Parking
Other
Other
Other
Other
11.NATURE AND EXTENT OF RELIEF APPLIED FOR (what you want vs. what is allowed)
Note:This section MUST be completed in detail –do not refer to cover letter for explanation.
Example:Requesting relief from Section 37.2.1 of the Zoning By-law to allow an addition to have a rear
yard setback of 5.75 metres rather than the required 7.5 metres.
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12.IN YOUR OPINION, WHAT ARE THE REASONS YOU ARE NOT ABLE TO COMPLY WITH THE ZONING
BY-LAW?
13.AUTHORIZATION
If this application is being made by an agentthat is not the owner of the subject lands, written authorization
of the owner is required, as below:
I/we,, owner(s)of the land that is the subject of this application,
hereby authorize to act on my/our behalf in regardto this application.
Signature of Owner:Date:
Signature of Owner:Date:
14.ACKNOWLEDGEMENT
I understand that receipt of this application by the City of Kitchener -Planning Division does not guarantee it
to be a ‘complete’ application. Further review of the application will be undertaken and I may be contacted
to provide additional information and/or resolve any discrepancies or issues with the application as submitted.
Once the application is deemed to be fully complete, the application fee will be deposited and the application
will be processed. Submission of this application constitutes consent for authorized municipal staff to enter
upon the subject property for the purpose of conducting site visits, including photographs, which are
necessary for the evaluation of this application.
I further acknowledge that a City-issued notification sign must be posted at the front of the subject property
in a location that is visible from the street. Staff will advise when to post the sign and it shall remain in place
for 20 days after the Committee decision has been issued.
Signature of Owner or Agent:Date:
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15.AFFIDAVIT (to be completed in personin the presence of a Commissioner of Oaths)
I/we,, of the Town/City of ,
in the County/Regional Municipality of , solemnly declare that all of the above
statements contained in this application aretrue and I make this solemn declaration conscientiously
believing it to be true and knowing that it is of the same force and effect as if made under oath and by virtue
of theCanada Evidence Act.
Signature of Owner/AgentSignature of Owner/Agent
Declared before me at the
Town/City of inthe County/Regional Municipality of
Thisday of, 20 .
Signature of Commissioner of Oaths
*Commissioner/Notary –please affix stamp.
*Lawyer –please print name beside signature.