DEVELOPMENT SERVICES (Edmonton Tower)

2nd Floor, 10111 – 104 Avenue NW

EDMONTON, AB T5J 0J4
PHONE: 311 or if outside of Edmonton 780-442-5311
EMAIL: developmentservices@[Link]

DEVELOPMENT PERMIT APPLICATION Office use only: City File #___________________________

for Commercial/Industrial/Multi Residential or Stacked Row House Developments
All of the following information is necessary to facilitate a thorough and timely evaluation and decision on your application. All materials submitted must be clear,
legible and precise. Only applications that are complete will be accepted. PLEASE NOTE: this application is ONLY for a development permit. If a building permit
is also required, you must apply for it separately.

A General Project Information

1 Project Municipal Address:
2 Project Legal Description:
Plan No. ___________________________________________ Block _______________ Lot(s) _______________________ or,
Quarter ______________ Section ______________ Twp ___________ Range __________
3 Pre Application Meeting:  Yes, Reference # _____________________________-001  No

4 Type of work being performed: (Check all applicable):

 New Commercial/Industrial Building (must complete Section C7, C8 of this form)
 New Multi Residential or Stacked Row House - 3 or more dwellings (must complete Section C7, C8, and C10 of this form)
 Mixed uses New Building or Addition (must complete Section C7, C8, C10, and C11 of this form)
 Addition to Existing Building (must complete Section C7, C9 of this form)
 Exterior Alteration  Interior Alteration  Demolition  Other __________________________________________
 Change of Use (must complete applicable portions of Section D of this form)
 Solar Energy Systems – Thermal or PhotoVoltaic (PV) (must see Solar Energy Systems brochure for submission requirements)
B Applicant/Owner Information
5 As the applicant I affirm:
 I am the registered owner of the above noted property
 I have entered into a binding agreement to purchase the above noted property with the registered owner(s).
 I have permission of the registered owner(s) of the above noted property to make the attached application for a Development
Permit.
 I consent to receiving documents or communications related to this application, including but not limited to development permit
decisions, acknowledgments confirming an application is complete, and any notices identifying any outstanding documents and
information, by email.
6 Applicant Information: City Customer ID #:

Last Name: First Name: Business Name:

Contact Name (if different from above): Email:

Mailing Address: Telephone: Cell Ph.:

City: Prov.: Postal Code:

C All New Buildings and/or Additions to Existing Buildings

7 Detail the proposed use of the new building/addition:

8 Total Site Area (sq. m.): Total Floor Area (sq. m.), including all floors and mezzanines:

Additions to a Commercial/Industrial Building:

9 Existing Floor Area (sq.m.): Proposed New Floor area (sq.m.):

Multi-Unit Residential Developments:

10 Total number of Dwelling Units Proposed: Number of Main Floor Dwelling Units Proposed:

Page 1 of 3 July, 2018

 DEVELOPMENT SERVICES (Edmonton Tower)
2nd Floor, 10111 – 104 Avenue NW
EDMONTON, AB T5J 0J4
PHONE: 311 or if outside of Edmonton 780-442-5311
EMAIL: developmentservices@[Link]

11 Commercial Portion of New Mixed Use Building:

D Change of Use within a specific building

12 Detail what the previous business activity was AND what the previous business name was:

13 Detail what the proposed business activities will be within the building (e.g. insurance office, steel fabrication plant, jewellery sales):

14 Detail any proposed business activities that will occur outside of the building (e.g. outdoor storage of pipes, outdoor trucking yard,
outdoor display of goods):

15 Total floor area of business (sq.m.): Office space (sq.m.): Warehouse space (sq.m.):

E Eating and Drinking Establishment Uses

16 Check all that apply:
 Restaurant  Specialty Food Service  Bar and Neighbourhood Pub  Night Club  Brewery  Winery  Distillery
17 Public Space floor area (excluding kitchens, office areas): What will be the maximum seating capacity?:

18 Will there be an outdoor patio?: If yes, what is the seating capacity of the outdoor patio? (a floor plan is
required on the site plan):

F Vehicle Oriented Uses (New and used Automotive Vehicle Sales)

19 Vehicle Oriented Uses, including Automotive Vehicle Sales involving the placement of sales trailers on site is considered a new
Commercial development and not a change of use, and therefore shall meet the drawing and information requirements of the
Commercial/Industrial checklist.
G Applicant Declaration
20 I confirm by my signature below that the information contained in this application, including plans and details , is to my knowledge, true
and complete;
Date: _________________________ Signature:____________________________________________________________________

Office Use Only

Development Permit Project No. _________________________________________ Building Permit Required?  Yes  No

This project is:  New Commercial/Industrial  New Multi Dwelling Residential  Addition (all)  Leave as Built
 Exterior Alterations  Revision to approved DP  Interior Alterations  Demolition Only
 Solar Energy Systems
Development Permit Description (MUST IDENTIFY ZONING BYLAW USE CLASS):
__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

Zoning: _______________  Discretionary Use  Permitted Use Statutory Plan Overlay: ______________________________

Development fees to be charged?  Yes : $__________________  No (reason):___________________________________________

Reviewed by: _________________________________________________________ Date (mm/dd/yr): _____________________________

Personal Information required by City of Edmonton application forms is collected under authority of sections 33(a) and (c) of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act. Your
personal information will be used to process your application(s). Please be advised that your name, address and details related to your permit may be included on reports that are available to the public as required
or allowed by legislation and may be provided to Business Improvement Area Associations. If you have any questions, please contact a Service Advisor at the Edmonton Service Centre at 780-442-5054.

Page 2 of 3 July, 2018

 DEVELOPMENT SERVICES (Edmonton Tower)
2nd Floor, 10111 – 104 Avenue NW
EDMONTON, AB T5J 0J4
PHONE: 311 or if outside of Edmonton 780-442-5311
EMAIL: developmentservices@[Link]

Development Permit Information and Drawing Requirements

A separate Checklist form, which identifies the drawings and detailed information required for your proposed
development, must be completed:

• Commercial/Industrial Checklist for new buildings and additions, exterior alterations;

• Multi-Unit Stacked Residential Checklist for 3 or more dwellings, additions, exterior alterations;
• Change of Use Checklist.

To minimize delays in processing your application, the following must be completed and returned to our
office:
• The Development Permit Application form
• The appropriate Checklist
• The Abandoned Wells Confirmation Form with a printout of the map that was used to confirm
the absence/presence of abandoned well(s).

To link to the City’s website for the Commercial Development and Building Application Form and Checklists, go
to: [Link]/developmentservicesforms

Additional drawings or information may be required as considered necessary in accordance with the Edmonton
Zoning Bylaw and by the Development Officer.

Applications may be subject to additional on and off site fees associated to the proposed development such as
Lot Grading fee, Sanitary Sewer Trunk Charge, Transportation infrastructure fees.

Should you have any questions regarding development application requirements, please contact a
representative at our Customer Information Centre at 311 or if outside Edmonton 780-442-5311.

*This is NOT a Building Permit application.

A separate application must be made if a building permit is required.

Page 3 of 3 July, 2018