DECLARATION AND SIGNATURE:
I hereby declare that the statements made herein are, to the best of my belief and knowledge, a true and complete representation of the purpose and intent of this application.
I have reviewed the submission requirements and understand that incomplete applications may not be accepted.
I also understand that the proposal must comply with all other applicable legislation and by-laws and that other approvals, if required, must be described clearly in this application form (e.g. Minor Variance, Site Plan, Building Permit, Sign Permit, Heritage Permit, etc.)
I acknowledge that Town of Cobourg staff may visit the property that is the subject of this application for the purpose of evaluating the merits of this application.
I acknowledge that personal information on this form is collected under the authority of the Ontario Heritage Act, Municipal Act, and/or the Planning Act and will be used to process the Community Improvement Plan application and the information may also be released to the public.
I acknowledge that I have read in full the Affordable and Rental Housing Community Improvement Plan and understand the project requirements, and that my project conforms to the project requirements.
I/We sd the owner hereby authorize the agent/applicant listed below to act as our Agent to sign this application form, to appear on my/our behalf at any hearing(s) in respect of this application, and to provide any information or material required by the Town in connection with this Application Form and I/We hereby authorize the Town to collect such information from my/our client.