Form Builder - City of Burlington

Required fields are marked with asterisks (*)

Heritage Permit Application

Purpose

Application for consent to alter or demolish property designated under Part IV of the Ontario Heritage Act.

Additional Information

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:

Designated Property By-Law # (if known):

Property Owner Information

First Name:

Last Name:

Mailing Address (Number, Street, Suite #):

City:

Province:

Postal Code:

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.