Community Improvement Plan Application

General Information and Instructions 

Before filling out this application form please read the Community Improvement Plan and if required arrange for a preapplication meeting with a municipal staff member. The Community Improvement Plan describes the purpose and basic terms and conditions of the Municipality of Centre Hastings Community Improvement Plan. 

Please complete all required supporting documents in this application. An application will not be considered complete until all required documents have been submitted. 

Please ensure that the application for is complete and that all required signatures have been supplied. 

Applicant Information

PLEASE NOTE: If the applicant is not the registered property owner, please ensure that the required authorization is completed and signed by the registered property owner as provided in this application form and noted as Declaration of Applicant. In absence of the owner's authorization, no further consideration of the application will be made.

CIP Program Screening Criteria

CIP Program Selection

Please select the CIP program(s) to which you are applying and complete the corresponding sections of this application. 

Note: you can only apply for one grant/loan per property, per 3 year period.

CIP Program Supporting Documentation

In order for your application to be considered complete, you must provide at minimum the information below. You may be required to submit additional information at the request of Municipal Staff, The CIP Taskforce, or Council. 

For the Accessibility, Building Improvement, Planning and Building Permit or Tax Increment Equivilant programs you may be required to submit additional documents, such as copies of plans, permits, applications, drawings, etc. You will be notified if additional documents are required to support you application. 

Detailed Project Costs

Please detail all project costs. The estimated costs should be based on quotes from contractors and vendors. Applicants are required to obtain at least two quotes. 

Applicant Declaration

I hereby declare that the statements made herein and all attached supporting materials and documentation, are a true and complete representation of the purpose and intent of this application.

I have reviewed the submission requirements and understand that incomplete applications will not be accepted. 

I also understand that the proposal must comply with all other application legislation and bylaws 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 the Municipality or their designate may visit the property that is the subject of this application for the purpose of evaluating the merits of of this application.

I acknowledge that the personal information on this form is collected under the authority of the Municipal Act, and/or the Planning Act and will be used to process the Community Improvement Plan application and information may also be released to the public.

I acknowledge that I have read in full the Municipality of Centre Hastings Community Improvement Plan and understand and conform to the eligibility and program requirements. If the owner is a corporation or partnership, I have the authority to bind the corporation or partnership.

I, (signature below) of the Municipality of Centre Hastings declare that the information contained in this application is true, and that the information contained in the documents that accompany this application is true. 

Consent of the Owner

CONSENT OF THE OWNER TO THE USE AND DISCLOSURE OF PERSONAL INFORMATION

I, (name signed below) am the owner of the land that is the subject of this application and for the purposes of the Municipal Freedom of Information and Protection of Privacy Act this application forms part of a public record open to inspection by any person upon request at the office of the clerk during normal office hours. See the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, s.14(1)(c). I further authorize and consent to the use by or the disclosure to any person or public body of any personal infomration that is collected under the authority of the Planning Act for the purposes of processing the application.