Checklist for submitting a Region of Durham Application … South East West Note: For Lot Line Adjustments only, please also complete the section below: ... Assessment Roll Number

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PLEASE DO NOT REMOVE THIS COVER SHEET

Checklist for submitting a Region of Durham

Application for Consent

Incomplete applications and/or surveys will not be accepted and will be returned

Have you completed a pre-consultation review with the local municipality and the Region of Durham Planning Department? If not, please contact the applicable local municipality to arrange for same. Then contact Land Division staff at 905-668-7711 to arrange a Regional pre-consultation meeting.

Have you answered all questions in the application form?

Have you completed and attached the Site Screening Questionnaire? See attachment 1.

Is Minimum Distance Separation (MDS) applicable to the subject property? See attachment 2.

Has the Declaration page been signed by the applicant and commissioned by a Commissioner of Oaths? If not, please contact Land Division staff.

Have you completed and included the applicable Location Map?

If you are acting as agent, have you enclosed 2 original copies of the Authorization from Owner? See attachment 3.

Have you included the requisite copies of the draft 40R-Plan? See instructions on page 2.

Have you included all of the requisite fees? If you are unsure as to the fees payable please contact Land Division staff.

Have you included 2 original copies of the Application form?

Have you attached all applicable supporting documents (reports/studies)?

Last updated: January 2018

Office Use Only Submission Date:

File Number: LD Deemed Complete Date:

Municipality: Meeting Date:

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The Regional Municipality of Durham Application for Consent

AS PER THE PLANNING ACT, AS AMENDED, THE MUNICIPAL ACT 2001, AS AMENDED AND IN ACCORDANCE WITH THE PROVINCIAL REGULATIONS

Instructions to applicant, please read carefully before completing the application.

A. It is the policy of the Region of Durham Land Division Committee that a separate application with applicable fees be submitted for each consent transaction.

To make an application, complete and file two (2) signed original application forms together with all supporting documents, applicable draft 40R-Plan (together with detailed sketch where required) and applicable fees. Submit two (2) copies of the draft 40R-Plan (“8 ½" x 11" or 8 ½" x 14") in size or twenty (20) copies if 11” x 17” or larger.

Note to applicant: All questions in the application must be completed in full otherwise the application will be deemed incomplete and returned to you.

B. In accordance with By-law 24-2016, the following application processing fees apply at submission:

$1000.00 certified funds, unless drawn on a solicitor’s cheque, for each application submitted ;

$300.00 certified funds, unless drawn on a solicitor’s cheque for the Regional Planning Review fee for each application submitted; and

Prior to submitting your application you must contact the Land Division office for othercurrent agency user fees applicable to your consent application(s) at (905) 668-7711 or tollfree 1-800-372-1102.

In accordance with Bylaw 24-2016, the following application fees may also apply after submission:

$150.00 certified funds, unless drawn on a solicitor’s cheque for tabling the application to anothermeeting, if applicable.

$750.00 certified funds, unless drawn on a solicitor’s cheque for stamping a deed and finalization ofdocuments for the application (paid at end of the Land Division process to the Region of Durham).

$250.00 certified funds, unless drawn on a solicitor’s cheque for re-stamping of a deed should thedeed be returned by the Land Registry Office or if deed is revised by the solicitor after stamping.

C. The undersigned hereby applies to the Region of Durham Land Division Committee under the Planning Act, as amended, for consent to the transaction as described, and to the extent set forth in this application.

D. All completed applications, communications, clearances/fulfilment of conditions and requests for Certificates etc. related to applications for consent (severance), (as well as change of conditions, validation of title and approval of foreclosure or power of sale) under the Planning Act must be filed directly with the Durham Region Land Division Office.

E. Please note the application together with any and all documents related thereto are a public record and as such are available for viewing or duplication by the general public upon request.

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1. Applicant Information

An owner of land or the owner's agent, duly authorized in writing, may apply for consent. Complete the information below (please print legibly using black ink): Owner #1 Owner #2

Name:

Address:

Phone/Fax:

Email: ________ _________

Authorized Agent: Name: Mailing Address: Phone/Fax: _____________________ Email: _______________

2. Type of Transaction: Indicate transaction for which application for consent is being made:

Conveyance: Please select only one (1) of the following:

a) creation of new lot; OR

b) addition to a lot – moving/adjusting lot line

(indicate direction to which the severed parcel will be added):

North South East West

Note: For Lot Line Adjustments only, please also complete the section below:

Name, address and phone number of person(s) to whom the land is intended to be transferred. Name: _ Mailing Address: Phone/Fax: _____________________________

Assessment Roll Number of adjacent property: 18- _______ (15 digits total)

Other – see page #4

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Other transaction type (please select if applicable):

c) Easement/Right-of-Way

d) Lease

e) Correction of Title

f) Mortgage or Charge

g) Partial Discharge of Mortgage

h) Other e.g. Validation of Title, Approval for Power of Sale/Foreclosure of Mortgage

3. Property Information of subject lands:

Legal Description including Lot & Concession (Mandatory) _____________

Part numbers on draft or registered 40R-Plan ____________

Municipal address, if available ___________

Assessment Roll Number (Mandatory): 18- ___________________________________(15 digits total)

4. Existing easements/right-of-ways or covenants:

YES NO

If YES, please describe below in detail:

Type of Easement Severed Lands Retained Lands

5. Dimensions of Lands in Metric Units (must accurately match dimensions noted on draft 40-RPlan)

Severed Lands Retained Lands

Frontage

Average Width

Average Depth

Total Area

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6. Use of Land

Severed Lands Retained Lands

Existing Proposed Existing Proposed

Urban Residential

Seasonal Residential

Mobile Home Park

Commercial

Tourist Recreational

Agricultural

Industrial

Institutional

Parkland

Utility

Hamlet/Cluster

Non-Farm Related Rural Residential

Farm-related Rural Residential

Other:

List the number and type of existing and proposed buildings and structures on the lands

7. Agricultural Information

Agricultural Code of Practise – Minimum Distance Separation (MDS)

Is there a livestock barn or manure storage facility located within 1000 metres of the Severed Land?

YES NO

If YES, please complete the attached DATA Sheet – MDS – Attachment 2

Is the purpose of the severance to dispose of a surplus dwelling YES NO

Date of purchase of total holdings:

Details of farm operation: ______

Site Screening Questionnaire – In accordance with the Region’s Council adopted Site Contamination

Protocol all Land Division Committee applications must be accompanied by either a completed Site Screening Questionnaire (SSQ), or a Phase One Environmental Site Assessment Report, prepared in accordance with Ontario Regulation 153/04, as amended. The Region’s SSQ can be found in Attachment 1 to this application. For new lots, the SSQ must be signed by a Qualified Person.

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8. Has there ever been an application for consent by the current or previous owners on this parcel of land?

YES NO

LD File Number(s):

For what use?

Date of transfer, name of transferee and land use:

9. Has the parcel to be severed or retained ever been or is it part of an application for plan of subdivision?

YES NO

If YES, specify date and File No.:

Status of File:

10. Has the subject or retained land ever been the subject of a variance, zoning amendment,

Minister's zoning order amendment or official plan amendment application?

YES NO

If YES, specify date and File No.:

Status of File:

11. Durham Regional Official Plan Designation (Please contact Regional Planning and Economic Development Department staff for this information)

Severed Land:

Retained Land:

12. Is the application consistent with the Provincial Policy Statement?

YES NO

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13. Is the subject land within an area of land designated under the Oak Ridges Moraine

Conservation Plan? (Please contact the Regional Planning and Economic Development

Department staff for this information)

YES NO

If YES, please specify whether the application conforms to or does not conflict with the Oak Ridges Moraine Conservation Plan: _________________________________________________________________________________

_________________________________________________________________________________

14. Is the subject land within the Greenbelt Area? (Please contact the Regional Planning and

Economic Development Department staff for this information)

YES NO

If YES, please specify whether the application conforms to or does not conflict with the Greenbelt Plan:

_________________________________________________________________________________

_________________________________________________________________________________

15. Please specify whether the application conforms to or does not conflict with the Growth Plan

for the Greater Golden Horseshoe:

_________________________________________________________________________________

_________________________________________________________________________________

16. Is the subject land within an area of land designated under the Lake Simcoe Protection Plan?

(Please contact the Regional Planning and Economic Development Department staff for this

information)

_________________________________________________________________________________

_________________________________________________________________________________

17. Local zoning information (Please contact the area municipality for this information)

Severed Land Retained Land

Municipal Official Plan Designation:

Zoning Regulations:

a) By-law Number

b) Zoning Category

c) Minimum Frontage

d) Minimum Area

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18. Services existing and proposed:

Severed Land Retained Land

Existing Proposed Existing Proposed

a) Public Water and Sewers

b) Public Water and Private Sewage System

c) Public Sewer and Well

d) Well and Private Sewage System

e) Other: Communal, Lake Water, etc.

If proposed, specify when above will be available:

If a private sewage system exists on the proposed severed or retained lands, please provide the following details:

Severed lands: Installation date: Health Dept. File Number:

Retained lands: Installation date: Health Dept. File Number:

If applicable, please provide a separate site servicing plan with the application.

19. Property Frontage/Access to: Severed Land Retained Land

a) Open Municipal Road

b) Regional Road

c) Provincial Highway

d) Unopened Road Allowance

e) ROW

f) Other:

Name of Road(s)

Is access by water?

YES NO If YES, what boat docking and parking facilities are available? Distance of docking and parking facilities from nearest public road and from subject property:

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20. 40R-Plan Requirements:

The applicant shall submit 2 copies of the draft 40R-Plan together with detailed sketch, where required, on 8 ½" x 11" or 8 ½" x 14" or provide 20 copies if 11” x 17” or larger. The draft 40R-Plan and/or sketch, where applicable, must show the following information:

a) abutting lands owned by the owner showing the boundaries and dimensions;

b) the distance between the owner's land and the nearest township lot line or appropriate landmark (i.e. bridge, railway crossing, etc.);

c) the boundaries and dimensions of the severed and the retained parcels and the location of all land previously severed;

d) the boundaries and dimensions of easements, right-of-ways, leases, mortgages, etc., existing and being applied for on the subject land and the boundaries and dimensions of any easements, right-of-ways, leases, mortgages, etc., existing or being applied for on the retained land;

e) the approximate location of all natural and artificial features on the subject land (i.e. buildings, railways, roads, watercourses, drainage ditches, rivers or stream banks, slopes, wetlands, wooded areas, wells and septic tanks) and on adjacent lands which may affect the application;

f) the use of adjacent lands (i.e. residential, agricultural, cottage, commercial, etc.);

g) the location, width and names of all road allowances, streets, right-of-ways, highways within or abutting the property, indicating whether they are public travelled roads, private roads or right- of-ways or unopened road allowances;

h) the location and nature of any right-of-way or easement affecting the subject land; and

i) if access to the subject land is by water only, the location of the parking and boat docking facilities.

Finalization Of Consent:

Once all of the conditions contained in the Committee’s Decision are fully satisfied, the applicant’s solicitor must prepare and forward the legal document(s) with the applicable fee to the Region of Durham Land Division Committee office, to the attention of the Assistant Secretary-Treasurer.

For most applications (lot line adjustments and/or new lots) the legal documents, as prepared by a Solicitor, shall include the following documents in triplicate:

1. Draft of the complete Transfer/Deed of Land (including the Land Transfer Tax Affidavit); 2. Acknowledgement and Direction document signed by all owners; and 3. Schedule “A” Certificate for stamping (the full legal description of the “severed” lands).

The legal document(s) is/are to contain a registrable description satisfactory to the Registrar in keeping with the current requirements of the Registry Act. 5 working days are required for the review and stamping of the legal document(s) indicating the Committee's consent.

The document(s) will be returned to the solicitor for registration purposes.

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REGIONAL MUNICIPALITY OF DURHAM

DECLARATION

This declaration must be completed by the Applicant and signed in the presence of a Commissioner for Taking Affidavits

I/We of the (name of applicant) (name of City, Town, Township, etc.)

in the Region/County/District of solemnly declare that all of the statements

contained in the application for consent and all supporting documents are true and complete, and I make this

solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as

if made under oath, and by virtue of the "Canada Evidence Act."

Declared before me at:

in the Region/County/District of

this day of

, in the year .

Owner/Agent

Commissioner of Oaths

THIS APPLICATION MUST BE SUBMITTED TO:

Durham Region Land Division Committee Telephone: 605 Rossland Rd. E., 4th Floor (905) 668-7711 Whitby, ON L1N 6A3 1-800-372-1102 (Toll Free Line) Facsimile: (905) 666-6208

SELECT AND ATTACH APPLICABLE LOCATION MAP IDENTIFYING LOCATION OF SUBJECT LAND

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T

Oshawa

Airport

St.L.&H.

St.L.&H.

C.N.R.

MITCHELLCORNERS

MOUNTCARMEL

RAGLAN

MYRTLESTATION

BROOKLIN

COLUMBUS

ENFIELD

SHIRLEY

OSHAWA

OF

CITY

MYRTLE

TAUNTON

COURTICE

Thicksons Point Gold

Point

OshawaHarbour

Pringle

Creek

Goodm

anC

reek

East

Osh

awa Cre

ek

WestO

shawa

Creek

Oshawa

Creek

Har

mony Creek

Corbett

Creek

7/12

2

26

36

26 52 53 54

22

52

52

54

60

33

59

2

16 35

55

2

22

34

4

3

60WENTWORTH ST

25

5858

62

56

253

26

59

2A

Bonnie BraePoint


l:/projects/Roads_Map_2001/Roads_Map_Illustrator/Oshawa_Roads


Regional Highways

Regional Roads

Municipal Roads


26

2

401

0 2 4 6

Scale in Kilometres

2


DIX

IE R

D

SQ

UIR

ES

B

EA

CH

RD

NO

TION

R

D

CH

UR

CH

ST

SID

ELIN

E 26

SID

ELIN

E 24

SH

OA

L PO

INT R

D

AU

DLE

Y RD

KIN

SA

LE R

D

SID

ELIN

E 4

GR

EE

NW

OO

D R

D

PAD

DO

CK

RD

SID

ELIN

E 26

SID

ELIN

E 24

SID

ELIN

E 32

SID

ELIN

E 16

SID

ELIN

E 2

CO

UN

TRY LA

LIVE

RP

OO

L RD

PIC

KE

RIN

G

BE

AC

H R

D

RAVE

NS

CR

OFT

RD

UXBRIDGE-PICKERING TOWNLINE

WE

STN

EY R

D

SID

ELIN

E 26

SID

ELIN

E 28

SID

ELIN

E 30

SID

ELIN

E 32

NO

RTH

RD

SID

ELIN

E 28

SID

ELIN

E 20

SID

ELIN

E 16

SID

ELIN

E 14

SID

ELIN

E 6

SID

ELIN

E 4

HA

LLS R

D

CO

UN

TRY LA

COLUMBUS RD

HA

LLS R

D

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ND

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AC

H R

DVA

LLEY

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MRD

RIV

ER

SIDE

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SEVENTH CONCESSION RD

WHITEVALE RDS

IDE

LINE

22

SHEPPARD AV

RO

SE

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RD

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PO

RT R

D

HA

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RD

AU

DLE

Y RD

DA

GM

AR

RD

SID

ELIN

E 12

SID

ELIN

E 14

SID

ELIN

E 20

EIGHTH CONCESSION RD

FIFTH CONCESSION RD

ROSSLAND RDTHIRD CONCESSION RD

SA

LEM

RD

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ON

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ICK

ER

ING

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NLIN

E R

D

ALTO

NA R

D

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BR

OC

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D

HAR

WO

OD

AV

TAUNTON RD

DUNDAS STKINGSTON RD

KINGSTON RD

WE

STN

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VICTORIA ST

WH

ITES

RD

BAYLY ST

BAYLY ST

TAUNTON RD

LAK

E R

IDG

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MA

RK

HA

M-P

ICK

ER

ING

TOW

NLIN

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D

MACDONALD-CARTIER FREEWAY

STOUFFVILLE

HWY NO. 401

HWY NO. 7

St.L.&H.

St.L.&

H.

St.L.&H.

St.L.&H.

C.N.R.C.N.R.

C.N.

R.

St.L.&H.

DAGMARBALSAM

CLAREMONT

BROUGHAMGREEN RIVER GREENWOOD

CHERRYWOOD

WHITEVALE

ALMONDVILLAGE

GLEN MAJOR

PORTWHITBY

WHITBY

OF PICKERINGCITY

KINSALE

PICKERING BEACH

PICKERING VILLAGE

Frenchman Bay

MoorePoint

Richardson Point

Whitevale Pond

ChalkLake

Rees

orC

reek

Lynde C

reek

Carruthers

Creek

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Cre

ek

East

Duffin

Creek

Mitch ell Creek

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on

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nCree

kU

rfe' Cree

k

Spring

Creek

BroughamC

reek

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Petti coat

Cre ek

West Duf fin Creek

West

Duff in

Creek

CranberryMarsh

401

401

7 7

5

4

2

23

4431

24

2

22

37

2938

27

4

27

30

5

23

31

31

1

ALTONA


l:/projects/Roads_Map_2001/Roads_Map_Illustrator/Pickering_Roads


Regional Highways

Regional Roads

Municipal Roads


0 2 4 6

Scale in Kilometres

2

401

2

22


SID

ELIN

E 2

RITS

ON

RD

N

THO

RN

TON

RD

NCONCESSION RD 10

AVE

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RD

EDGERTON RD

JOBB RD

WILS

ON

AV

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NS

RD

MALCOLM RD

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ITT LINE

MCKEE RD

BYERS RD

BEACOCK RDHEAD RD

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ER

OA

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SCUGOG LINE 2

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MIDDLE MARCH RD

MEDD RD

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CLEMENTS RD

SCUGOG LINE 14

OLD

SIM

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E R

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RD

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IDE

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TER

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AR

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LINE

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GR

AY SID

ER

OA

D

SCUGOG LINE 6

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CONCESSION 2

CE

NTR

E R

D

BROOKDALERD


WE

STN

EY R

D

SID

ELIN

E 6

SID

ELIN

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BR

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IDE

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AD

HIGH POINT

RD

HOWDEN RDBRAWLEY RD W

BLUE MOUNTAIN RD

SCUGOG LINE 12

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A S

IDE

RO

AD

MA

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OD

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RD

SCUGOG LINE 3

SCUGOG LINE 8

MA

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ILL RD

SCUGOG LINE 9

AS

HB

UR

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D

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RO

N R

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REACH ST

GOODWOOD RD

ISLA

ND RDSI

MC

OE

ST

REACH ST

TORONTO

ST

MYRTLE RD W

MA

IN S

T

LOTUS

BURTON

St.L.&H.St.L.&H.

St.L.&H.

BURKETON MOUNTCARMELRAGLANASHBURN

DAGMARBALSAM

ENFIELD

BLACKSTOCK

NESTLETON STATION

NESTLETON

ST. CHRISTOPHER

VIEWLAKE

CAESAREA

PORT PERRY

PRINCEALBERT

MANCHESTER

PROSPECT

SHIRLEY

PURPLE HILL

CADMUS

UTICA

EPSOM

GREENBANK

SAINTFIELD

LAKESIDE BEACH

SCUGOGCENTRE

Scugog

Island

GLEN MAJOR

UXBRIDGE

SANDYHOOK

POINT VIEW BEACH

SONYA

LAYTON

VICTORIACORNERS

TOWNSHIP

OF

SCUGOG

WICK

SEAGRAVE

MARSH HILL

MYRTLE

Osler Marsh

Lake Scugog

Pine Point

Williams Point

ScugogPoint

BallPoint

Starr Bay

PlattenIsland

Kings Bay

Wagner Lake

ChalkLake

Fallis Pond

Non

quon

Riv

er

East

cros

sC

reek

Beav

erRiver

Uxb

ridg

eB

rook

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7/12

7/12

7A7A

7A

7A

57

57

57

19

20

192

5

23

8

47

1

13

13

6

2

7

7

23

21

8

47

SUMMIT DRPINE POINT RD

SM

ITTS

IDE

RO

AD

BOUNDARY RD

DARWARD RD


Regional Highways

Regional Roads

Municipal Roads

2

12

2

0 2 4 6 8

Scale in Kilometres

2

Prepared by The Regional Municipality of Durham Planning Department January 2001l:/projects/Roads_Map_2001/Roads_Map_Illustrator/Scugog_Roads


SID

ELIN

E 24

SID

ELIN

E 32

SID

ELIN

E 16

SID

ELIN

E 2

PINE GATE RD

MIDDLE MARCH RD

MEDD RD

WEBB RD

SECORD RD

PROUSE RD

ALLBRIGHT RD

WAGG RD

CO

NC

ES

SIO

N 6

CO

NC

ES

SIO

N 7

O'BEIRN RD

CO

NC

ES

SIO

N 4

CO

NC

ES

SIO

N 2

WAGG RD

CO

NC

ES

SIO

N 3

FEASBY RD

DAVIS DR

BALL RD

ASHWORTH RD

MEYERS RD

HOLLINGERS RD

ZEPHYR RD

LEITCH RD BREWSTER RD

CO

NC

ES

SIO

N 6

CO

NC

ES

SIO

N 4

CO

NC

ES

SIO

N 3

CO

NC

ES

SIO

N 2

FOWLERS RD

CONCESSION 2

CONCESSION 4

OLD STOUFF VILLE

RD

MAST

RD

LEASKDALE RD

CHALK LAKE RD

CE

NTR

E R

D

BROOKDALERD


WE

STN

EY R

D

SID

ELIN

E 26

SID

ELIN

E 28

SID

ELIN

E 30

SID

ELIN

E 6

SID

ELIN

E 4

CO

NC

ES

SIO

N 5

DA

GM

AR

RD

SID

ELIN

E 12

SID

ELIN

E 14

SID

ELIN

E 20

REACH ST

BR

OC

K R

D

LAK

E R

IDG

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D

ZEPHYR RD

SANDFORD RD

TORONTO

ST

MYRTLE RD W

MA

IN S

T

STOUFFVILLE

HW

Y NO

. 48

HW

Y NO

. 47

C.N.R.

C.N.R

.

C.N.R.

St.L.&H.

DAGMARBALSAM

CLAREMONT

GLEN MAJOR

ALTONA

GLASGOW

GOODWOODCOPPINSCORNERS

UXBRIDGE

SANDYHOOK

ROSEVILLESILOAM

SANDFORD

LEASKDALE

UDORA

ZEPHYR

VALLENTNE

VROOMANTON

VICTORIACORNERS

UXBRIDGE

TOWNSHIP OF

Musselman Lake

MudLake

Wagner Lake

ChalkLake

Beav

erRiver

Peffer

l aw

Broo

k

Uxb

ridg

eB

rook

Peffer

lawB

rook

Wix

onCre

ek

5

30

5

47

30

21

1

47

8

23

8

47

1

13

23

1

32

39

13

39

11

23


Regional Highways

Regional Roads

Municipal Roads

2

12

2


l:/projects/Roads_Map_2001/Roads_Map_Illustrator/Uxbridge_Roads

0 2 4 6 8

Scale in Kilometres

2


AU

DLE

Y RD

KIN

SA

LE R

D

SID

ELIN

E 4

SID

ELIN

E 2

CO

RO

NATIO

N R

D

CO

UN

TRY LA

CO

CH

RA

NE

ST

THO

RN

TON

RD

GA

RR

AR

D R

DG

AR

RA

RD

RD

DIA

MO

ND

SID

ER

OA

D

MCQUA

YB V

GA

RD

EN

ST

STE

VE

NS

ON

RD

CONLIN RD

RAGLAN RD

COLUMBUS RD

SID

ELIN

E 4

BR

YAN

T S

IDE

RO

AD

HA

LLS R

D

LYNDEBROOK RD

CO

UN

TRY LA

COLUMBUS RD

HA

LLS R

D

HOWDEN RDBRAWLEY RDS

OU

TH B

LAIR

ST

AU

DLE

Y RD

GA

RD

EN

ST

MU

D LA

KE

RD

DU

FFS R

D

AS

HB

UR

N R

D

HE

RO

N R

D

DA

GM

AR

RD

AN

DE

RS

ON

STDRYDEN BV

ROSSLAND RD

TOWNLINE RD

CO

CH

RA

NE

ST HE

NR

Y ST

STEVENSO

N R

D

SIM

CO

E S

T

PARK

RD

SIMCOE ST

GIBB ST

DUNDAS ST

THO

RN

TON

RD

ROSSLAND RD

THIC

KS

ON

RD

MYRTLE RD

TAUNTON RD

KINGSTON RD

VICTORIA ST

LAK

E R

IDG

E R

D

BR

OC

K S

T

HO

PK

INS

ST

WINCHESTER RD

CONSUMERS DR

MANNI NG RD

LAK

E R

IDG

E R

D

2

3

Oshawa

Airport

St.L.&H.

St.L.&H.

C.N.R.

C.N.R.

St.L.&H.

RAGLAN

MYRTLESTATION

ASHBURNDAGMAR

ALMONDVILLAGE

MACEDONIANVILLAGE

BROOKLIN

COLUMBUS

GLEN MAJOR

PORTWHITBY

OF

WHITBY

TOWN

KINSALE

MYRTLE

PICKERING BEACH

AUDLEY

Richardson Point

WhitbyHarbour

Thicksons Point

GoldPoint

Lynde C

reek

LyndeC

ree k

Lynde Creek

Pringle

Creek

Goodm

anC

reek

East

Osh

awa Cre

ek

WestO

shawa

Creek

Oshawa

Creek

Carruth

ersC

reek

Corbett

Creek

CranberryMarsh

401

7

7/12

26

4

43 36 26

2

52 53 54

22

52

52

54

60

2

4

23

23

45

60

46

25

58

53

26

59

2A

12

DUNDAS ST

28

3

5


l:/projects/Roads_Map_2001/Roads_Map_Illustrator/Whitby_Roads


Regional Highways

Regional Roads

Municipal Roads


26

2

401

0 2 4 6

Scale in Kilometres

2


Attachment #3

AUTHORIZATION OF AGENT

This must be completed if an agent is to be authorized to submit the application and to represent the Owner. This form must be signed by the Owner.

Address of Subject Property: Name of Registered Owner(s): Application for Consent (list transaction type): As of the date of this application, I am the Registered Owner of the lands described in this application, and I have examined the contents of this application and hereby certify that the information submitted with the application is correct insofar as I have knowledge of these facts, and I authorize the submission of this application on my behalf. Name of Authorized Agent Signature of Owner Date Signature of Owner

Documents

Checklist for submitting a Region of Durham Application … South East West Note: For Lot Line Adjustments only, please also complete the section below: ... Assessment Roll Number