Variance Application Form | District of Port Edward

NOTE: fields marked with an *, or outlined in orange are required fields.

APPLICATION FEE

Variance Application Fee is $100.00. Applicants will be invoiced with payment options.

APPLICANT INFORMATION

(Owner or Agent as applicable)

Name of Applicant*:

Corporation (if applicable):

Mailing Address*:

Postal Code*:

Telephone*:

Email*:

PROPERTY INFORMATION

Civic Address:

Parcel Identifier(s):

Legal Description(s):

Existing Zoning:

Description of Proposed Development (attach maps, plans and documents in support of application where applicable:

Supporting Document: Accepted files: pdf, doc, docx.

Variance Request:

Zoning Bylaw Section:

UNDUE HARDSHIP

Please detail the undue hardship that is the reason for the application. Be specific:

REQUIRED DOCUMENTS

Legal Survey* Accepted files: pdf, doc, docx.

Building Elevation (if applicable only for high variances) Accepted files: pdf, doc, docx.

AGENT DESIGNATION

(if applicable)

If you are not the Registered Owner of the property that requires Board of Variance approval, a letter signed by the Owner is required prior to the Board of Variance meeting allowing you to act as a representative on his/her behalf. Neither Board members nor the District of Port Edward staff are responsible for the completeness or accuracy of this Application. Please provide all necessary information so that the Board and staff can properly consider your request.

I hereby designate: to act as my agent in matters related to this application.

Registered Owner's Name(s):

AUTHORITY

Registered Owner's Name:

Accept Agreement*

I/we (as the registered owners entered above, or their designated agent) certify that the above submission is complete and accurate, and includes all of the required items. I agree, if granted a variance, to comply with all relevant bylaws now in force or which may come into force in the District of Port Edward.

Agree to collection of personal information*

The personal information submitted in this form is collected in accordance with Section 26 (c, d, e) of the British Columbia Freedom of Information and Protection of Privacy Act (FOIPPA) (the “Act”) and will be used for the purpose of "Development Variance Application". Please be advised that the District of Port Edward is a “public body” as defined in the Act. Questions about the collection, use and disclosure of this information can be directed to the District of Port Edward’s Corporate Office at 250-628-3667 or .

Date of Submission: