U5 Minor Variance

First name•

Last name•

Address•

Zip code•

Main phone number•

Phone number (other)

E-mail address•

Are you the owner?•

Yes

IMPORTANT: if you are not the owner, please attach a signed power of attorney from the owner(s) to the "Document Filing" section.

Project location (if different from mailing address•

Quebec cadastre lot number•

Is it land bordering a lake, watercourse or wetland?•

Yes

Are you applying for a minor variance to the :•

Zoning

Housing estate

What is the nature of the exemption and the regulatory provision that you cannot comply with?•

What's the reason why you can't comply with the regulations, and what harm does strict enforcement cause you?•

Please ensure that all the following documents are included with your application:

Title deeds (if the applicant acquired the property within less than one year)
Power of attorney signed by the owner (in the case of an application made by an agent)
Plan signed by a land surveyor (in the case of a request related to distance or surface area for an existing or projected use)
Clear, recent photographs that clearly identify the requested variance

*Additional documents may be required, depending on the nature of the application, to ensure a clear understanding of the request.

*If your request is accepted, an invoice will be sent to you by e-mail. The application will only be processed once the fees have been paid.

I confirm that the information provided in this form is true;
I agree that the Municipality of Chelsea may use the information provided on this form to contact me;
I understand that the information provided on this form will be forwarded to all municipal departments concerned;
I understand that the Municipality may conduct discretionary inspections before or after the application.

files•

Drop files here or click to upload them.

Info

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