Encroachment Permit 
Application Form

This is an application to consider allowing an encroachment onto municipally-owned lands. 

Encroachment Information

The Applicant understands that this application is being taken in accordance with the Municipality's Encroachment Policy and may be denied on the following criteria:

1. The encroachment interferes with the Municipality's intent and purpose in holding the municipally-owned lands;
2. The encroachment diminishes the public's right of usage of public lands;
3. New encroachments onto municipal property;
4. Unable to reasonably demonstrate a need for the encroachment;
5. The encroachment enlarges an existing encroachment;
6. The encroachment poses a danger to the public;
7. The encroachment creates an unsafe condition;
8. Construction has commenced prior to the issuance of a required permit from the Municipality;
9. Adversely affects municipal operations, work, plans, efforts or initiatives of the Municipality to maintain municipally-owned lands;
10. The encroachment interferes with any utility or other similar installation located on municipally-owned lands;
11. The encroachment creates a situation that is contrary to any Municipal by-law, policy or resolution or any Provincial or Federal regulation or legislation.

In the event that this application is approved, it will be necessary for the Applicant to execute an Encroachment Agreement. 

Fees Associated with Application

Administration Fee: $250.00 plus the actual cost of registration, title search and any other legal fees

Solicitor Information (if applicable)

Consent

I/we:

• understand and agree to provide the Municipality with an annual Certificate of Insurance in perpetuity, as per Municipal policy;
• understand and agree to the terms of this application;
• have enclosed the application fee;
• have enclosed a detailed sketch, site plan or survey, 'to scale', which clearly shows the location and measurements of all existing and/or proposed structures/encroachments on the applicant's property and all existing and/or proposed structures/encroachments on the abutting Municipal property;
• have enclosed a letter of authorization from the applicant/property owner appointing an agent (if applicable);
• agree to pay the current agreement fees;
• have enclosed, if applicable, verification of consultation with neighbouring property owners, and where required by the Municipality, proof of public consultation;
• authorize Municipal staff to enter onto the subject lands to conduct a site visit in accordance with the processing of this application for Encroachment Licensing Agreement. 

The personal information collected on this form is collected in accordance with the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purposes of processing an Encroachment Licensing Agreement. Questions regarding the collection of personal information should be addressed to the Municipal Clerk at 56 Lindsay Road 5, Lion's Head, ON N0H 1W0 or by telephone at (519) 793-3522 ext. 236.