Community of Miltonvale Park

Tel. (902) 368-3090 Address: Miltonvale Park Community Council

Fax: (902) 368-1152 PO Box 38, Winsloe

E-mail : develop@miltonvalepark.com PE C1E 1Z2 Website: www.miltonvalepark.com Canada

SUBDIVISION APPLICATION

1. Property Information: (please print)

Property Owner’s Name ................................................................... Tel. No. ...............................

Property Tax No. ............................................ Date of Purchase (or inheritance) ...........................

Existing Land Use ...........................................................................................

2. Subdivision Information: (please check)

( ) revision to existing lot ( ) consolidation of lots ( ) subdividing of lot(s) and/or a parcel of land If subdividing, please denote number of lots and use ………………...I

Lot Frontage (Public or Private Rd.) ..................... Road Name ....................................................

3. Type of Servicing (please check )

( ) individual well(s) and individual sewage disposal system(s)

( ) central water & central sewage disposal system

( ) other, please describe ......................................................................................................................

4. Correspondence should be addressed to:

Applicant’s Name ........................................................................... Postal Code ...............................

Mailing Address .....................................................................................................................................

Telephone (H) ...................... (W) ...................... Fax ................... E-mail …………………………..

.................................................................................... ....................................................

Owner’s Signature Date

PLEASE NOTE: This application must be accompanied by: 1) An application fee - $ ______

For five or fewer lots:

2 a). a copy of a property map (geo-link map) showing the true shape and dimensions of the property being subdivided, the proposed lots drawn to scale, and all roads or right-of ways proposed for access to the lots.

More than five lots:

2 b). a copy of the property map along with four (4) copies of a preliminary plan prepared in accordance with the requirements as outlined in the bylaws.

The application along with the application fee (Cheque payable to: Miltonvale Park Community Council) should be forwarded to the above address. For further information and/or assistance, please drop into the community office at the Winsloe Lion’s Hall on Monday mornings (Spring-Fall) and/or phone the office.

Non-identifying information contained on this form will be posted on the PEI Property Planning Website and in the community, as per provincial regulations.

Municipality Use Only:

Date Application Received: .......................... Fees Received…........... Date Approved …………….