Development Permit Application


Security Measure

 

DEVELOPMENT PERMIT
APPLICATION

Saddle Hills County
RR 1
Spirit River, AB T0H 3G0

 

To download a pdf copy of the Development Permit Application simply click here.

 
When you have filled it in and signed it please send to it:
 

Cheryl Dwernychuk, Assistant Development Officer

By Mail: Saddle Hills County, RR #1 Spirit River, Alberta, T0H 3G0

By Fax: 780-864-3904

By Email: CDwernychuk@saddlehills.ab.ca 

If you are having difficulty downloading the pdf, simply print of this page, fill it out, sign it and send it to us.

If you submit this page electronically we will still require a signed copy delivered to our office



FORM A

 

DEVELOPMENT PERMIT
APPLICATION

Saddle Hills County
RR 1
Spirit River, AB T0H 3G0

Please fill out the form below, print, sign and submit to the County office. (Note:  if submitting online, a signed copy must also be sent to the County.)

FOR ADMINISTRATIVE USE
APPLICATION NO.
DATE RECIEVED

 


I / We hereby make application under the provisions of the Land Use Bylaw for a Development Permit in accordance with the plans and supporting information submitted herewith and form part of this application.

I / We understand that this application will not be accepted without the following:

  1. application fee;
  2. site plan sketch that includes all relevant detail to the proposed development
    (e.g.: proposed and existing structures, property lines, creeks/ravines, parking and vehicle access, building plans, sewage system, etc.)

 

LAND INFORMATION

  
Legal description of proposed development site:
QTR./L.S.
SEC.
TWP.
RG.
M.
OR 
REGISTERED PLAN NO.
BLOCK
LOT
Size of the proposed development site:
Length
ft
m
Width
ft
m
  Number of:
ACRES
ORHECTARES
Description of the existing use of the land:

 

 

DEVELOPMENT INFORMATION

 
Describe the proposed use of the land and the proposed development (provide details):
 
Check (x) any proposed use(s) not identified above and supply all related information:
 Signs (Form A-1 req’d)  Accessory structure(s) / use(s)
 Home Based Business(Form A-2 req’d) Commercial or industrial structure(s) / use(s)
 Dwelling unit(s) Public Use(s)
 Culvert(s)/Road access point(s) Other (specify)
 
Indicate the proposed setback from the property line:
Front Yard
ft
m
Rear Yard
ft
m
Side Yard(1)
ft
m
Side Yard(2)
ft
m
 
The land is adjacent to: A Primary Highway        A Secondary Highway        A Disrict Road
 
Estimate the project:    
A. COMMENCEMENT DATE
B. COMPLETION DATE
C. COMPLETED PROJECT COST DATE
 
Attached is     (a) Site Plan Yes N/A(b) Floor Plan Yes N/A
 

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.

.

.

.

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PRODUCTION FACILITY (if applicable)

 
SIZE OF COMPRESSOR HPEXPECTED TO FLARE    Yes     No
PRODUCTION TYPE SWEET GAS
SOUR GAS
OIL
NGL
LEVEL    1    2    3    4
TRAFFIC VOLUME EXPECTED
TYPE OF TRAFFIC         

 

 

The personal information on this form is being collected for the purpose of processing the Development Permit Application under the Authority of the Freedom of Information and Protection of Privacy Act (FOIP)

 

 

APPLICANT INFORMATION

COMPLETE IF DIFFERENT FROM APPLICANT

NAME OF APPLICANT

NAME OF REGISTERED LANDOWNER

ADDRESS

ADDRESS

POSTAL CODE

POSTAL CODE

EMAIL ADDRESS

EMAIL

CELL #                    PHONE(RES)       
     

 

                         PHONE(BUS)       
                         

 

CELL #                    PHONE(RES)       
     

 

                         PHONE(BUS)       
                         

 

 

DECLARATION

 

I/WE HERBY AUTHORIZE REPRESENTATIVES OF THE COUNTY TO ENTER MY/OUR LAND FOR THE PURPOSE OF CONDUCTING A SITE INSPECTION IN CONNECTION WITH THIS APPLICATION.

I/WE HEREBY DECLARE THAT THE ABOVE INFORMATION IS, TO THE BEST OF MY/OUR KNOWLEDGE, FACTUAL AND CORRECT

 


NOTE:

Signature of Registered Land
Owner(s) required if different from Applicant


DATE


PRINT NAME
SIGNATURE OF APPLICANT


DATE


PRINT NAME
SIGNATURE OF REGISTERED LAND OWNER(S)

 

 

 

FOR ADMINISTRATIVE USE

LAND USE DISTRICT:

FEE ENCLOSED:    YES    NO

AMOUNT: $ RECIEPT:

DEFINED USE

PERMITTED / DISCRETIONARY:

VARIANCE: