Planning Permit Application Application for development, interference with wetlands and alterations to shorelines and watercourses (Pursuant to Ontario Regulation 160/06) Step 1 of 5 20% Owner's DetailsOwner's Name(Required) First Last Organization Owner's Mailing Address(Required) Street Address Address Line 2 City/Town Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) Are you an agent filling out this form on the owner's behalf?(Required) Yes No Agent's DetailsAgent's Name(Required) First Last Organization(Required) Mailing Address(Required) Street Address Address Line 2 City/Town Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) Please upload a signed letter/document from the home owner authorizing you to complete this form on their behalf.Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB. Property LocationDoes the property have a municipal street address?(Required) Yes No Municipal street address(Required) City/Town(Required) Property location description(Required)Is the property used for agricultural purposes?(Required) Yes No Does the property have a biosecurity protocol?(Required) Yes No Description of Development Type/Work ProposedThe proposed development involves the following (Select all that apply):(Required) New structure Alteration/addition to existing structure Grading/site alteration Alter a watercourse Interference with a Wetland Lake Ontario shoreline works Describe the proposed works(Required) Pre-development ConsultationHave you conducted any pre-development consultation with Planning and Development Services Staff at CVC to determine site characteristics and technical requirements for a complete application? A pre-development consultation may be in the form of a phone conversation, a meeting, email messages or site visit.Pre-development consultation completed?(Required) Yes No Please indicate your consultation method(Required) Phone Meeting Email Site visit Other What is the name of your contact at CVC?(Required) Were you provided with an application checklist?(Required) Yes No Were you provided with a File Number?(Required) Yes No What is the File Number?(Required) You must submit the following information as it applies to your application: Location map of the property in relation to surrounding buildings, roads, lands, etc. Site plan indicating the property boundary and the proposed location of development/work. Final stamped engineering drawings of proposed development/work showing existing and final grades as required. Final stamped technical reports in support of proposal as required. Other documentation as identified through pre-consultation. How would you like to submit your documents?(Required) Paper Digital Although we prefer to receive digital submissions, you can drop off or courier hard (paper) files or applications to our Head Office. Please submit three (3) copies of the applicable documents listed above to the CVC Head Office. Documents can be submitted via courier or in person. All documents must be folded to no larger than A4 legal size (8.5 x 13 inches). Make sure to include your name and the property address with the package. Credit Valley Conservation1255 Old Derry RoadMississauga, ONL5N 6R4If you have trouble uploading files here, please email [email protected]. You can either provide a link to the documents or include them as attachments. Make sure to include your name and the property address in your email.Upload files Drop files here or Select files Accepted file types: pdf, Max. file size: 20 MB. Notice of collectionPursuant to the Municipal Freedom of Information and Protection of Individual Privacy Act, the personal information contained on this form is collected under the legal authority of the Conservation Authorities Act, R.S.O. 1990, c27 as amended. This information is used to assess applications and, where approved, issue the Permit. Information on this form may be disclosed to Government and Municipal Agencies for review and comment and to members of the public through the Freedom of Information process. The name of the applicant, location of the work and a description of the project may be published in CVC documents including agendas, reports and meeting minutes which are posted on CVC’s website. Questions about the collection of personal information should be directed to the Freedom of Information Coordinator, Credit Valley Conservation Authority, 1255 Old Derry Road, Mississauga, Ontario, L5N 6R4, (905) 670-1615.Consent(Required) I solemnly declare that, to the best of my knowledge and belief, all of the above information to be true.1. Any false or misleading statement made on this application will render null and void any permission granted. 2. Authorized representatives of Credit Valley Conservation are granted entry in accordance with the Conservation Authorities Act, R.S.O. 1990, c27 as amended onto lands which are the subject of this permit application in order to make such surveys, investigations, inspections, or other arrangements which such representatives deem necessary. 3. This permit does not absolve the applicant of the responsibility of obtaining all the necessary permission(s) from applicable federal and provincial agencies or local municipalities.Signature(Required)HiddencaptchaPlease Confirm Your HumanityPhoneThis field is for validation purposes and should be left unchanged. Δ
