Form Builder - City of Burlington

Required fields are marked with asterisks (*)

Community Heritage Fund Application

Purpose

Application for Loan or Grant from Community Heritage Fund. Only properties designated under Part IV of the Heritage Act are eligible.

Additional Information

Refer to Supporting Burlington Heritage before submitting an application, all applications must be submitted before work begins on the designated property. There is a separate application form for a Heritage Permit that may be required before the work has started. Please contact the heritage planner at heritage@burlington.ca for confirmation. Additional materials may need to be submitted in support of the application; submission requirements may vary depending on the type and scope of work proposed. Applicants are advised to consult the Heritage Planner to confirm submission requirements prior to filling out an application form. Email: heritage@burlington.ca

Notice of Collection

Personal information contained on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25, to determine eligibility for Heritage Permit to owners of residential heritage properties (as designated under the Ontario Heritage Act R.S.O. 1990). Questions about this collection can be directed to the Heritage Planner in the Department of Community Planning, City of Burlington, 426 Brant Street, Burlington, Ontario, L7R 3Z6, 905-335-7777, ex 7929, or heritage@burlington.ca

Property Information

Address (Number, Street, Suite #):

City:

Province:

Postal Code:

Is this your primary residence?

Yes

Property Owner Information

Please Select Property Owner type:

Individual/Couple

Corporation

Owner Email address:

Is the property owner the applicant?

Yes- I am the property owner.

No- I do not own the property. I am applying on behalf of the owner.