Required fields are marked with asterisks (*)

Township of Selwyn

Request for Tax Certificate, Work Orders, Building Permit, Survey and Zoning Information

Did you know you can order a Tax Certificate (does not include zoning/work orders etc.) and pay online by debit or credit card? Contact the finance department to activate your Virtual Town Hall (VTH) account.

If you require Work Orders, Building Permit, Survey and Zoning Information, or if you do not want to submit your Tax Certificate request online, please use this form to make your request. Payment is required before report will be mailed.

Please allow for a 10 business day turn around time for all requests - rush available for a fee (see below).

Only one request is required for both building department and tax information: Please do not send multiple copies of requests or cheques.

Fees

Item	Fee	Rush*
Tax Certificate	$40.00	$50.00
Building Permit Compliance/Work, Order Information	$70.00	$87.50
Zoning Information	$40.00	$50.00
Survey Compliance	$40.00	$50.00
Additional information (ex. Subdivision Agreement Compliance)	$40.00	$50.00
Copies of by-laws, minutes, etc.	$0.20/page

*Rush request – an additional fee of 25% per item applies to any request that does not allow 10 business days for processing.

Name of requestor (firm - name of individual)

Mailing address - number and street:

Mailing address - city:

Mailing address - province:

Mailing address - postal code:

How would you like to receive your response?

Fax

Mail

Phone number:

Your file number:

Is this a rush request?

Yes

Date required:

Property address:

Legal description:

Roll number:

Survey enclosed:

Yes

Present owner:

Purchaser:

Tax Certificate

Required

Response:

_____ enclosed _____ not enclosed

Issue of Building Permit

Required

Issue of Work Order: Yes: _____ No: _____ Date:_______________

Work Order/Notice of Deficiency - Minimum Property Standards By-law:

__________________________________________________________________________________________________________________

Issue of Building Permit: Yes: _______ No: _______ Date: _____________________

Outstanding: ____________________________________________________________

Development Charges Applicable

Required

Response:

Yes: _____ No: _____ $:_______________

Heritage Designation

Required

Response:

Designated: _____ Not designated: _____

Date house was completed

Required

Response:

Date: ______________________

Outstanding Park or Lot Levy

Required

Response:

$: ______________________

Local Improvement Charges

Required

Response:

$: ______________________

Charges under the Tile Drainage Act, The Drainage Act, The Shoreline Property Assistance Act or Ontario Home Renewal

Required

Response:

_________________________________________________________________

Any charges for Work Orders, Snow shoveling, Demolition, Hydro, Water or other public utility, or charges under The Telephone Act, Fire Marshals Act, the Public Health Act or Weed Control, etc.

Required

Response:

_________________________________________________________________

Copies of By-Laws, Minutes, etc.

Required

Fee based on cost per page

Issue of Occupancy Permit

Required

Response:

Yes: _____ No: _____ Date:_______________

Copy of Zoning by-law

Required

Fee based on cost per page

Response:

Enclosed:_______ To be forwarded: _______

Copy of Official Plan

Required

Fee based on cost per page

Response:

Enclosed:_______ To be forwarded: _______

Zoning

Required

Response:

_________________________________________________________________

Is the subject property situated on a Municipally maintained road

Required

Response:

_________________________________________________________________

Additional information

Required

Response:

___________________________________________________________________________________________

How would you like to pay for this request?

Cheque - payable to Township of Selwyn (mailed to PO Box 270, Bridgenorth ON K0L 1H0 or courier to 1310 Centre Line, Selwyn ON K9J 6X5)

Online - debit or credit: instructions and notification to sign into your Virtual Town Hall (VTH) account will be sent to the email address that you have provided.

Would you like to receive an email copy of this form when you click submit?

Yes

The foregoing information is for your convenience only and it should be clearly understood that you must satisfy yourself as to whether the premises and the existing or proposed use thereof is or would be in conformity with all applicable by-laws and regulations of the Municipality.

Copies of the Official Plan and Zoning By-Law are available for purchase from the Municipality or are available on our website.

As far as Work Orders and matters of a similar nature, if a file search has revealed there are no outstanding items, you should be cautioned that this may only be because the premises have never been inspected.

The completed information contained on this sheet is, as of this date and to the best of my knowledge, true and correct. (Errors Omissions Excepted).

Dated: _____________________ _____________________________

Municipal Official