Community Improvement Plan Application

Property Owner Information
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Enter Email Confirm Email
Applicant Information
Applicant same as Owner above.*
Note if the applicant is an agent authorized to act on behalf of the owner, a signed letter authorizing the applicant to act on behalf of the owner is required and can be uploaded in the next section.
- Yes
- No
Name*
First Last
Address
Street Address Address Line 2 City Province Postal Code
Phone
Email
Enter Email Confirm Email

Description of the Proposed Improvements*
Please give a detailed description of your proposed improvements below. This description should include identification of materials to be used and full details of the project. You will be asked to upload photographs, drawings or sketches to help describe the proposed improvement below.
Cost Estimate*
Please outline the two estimates from licensed contractors for work to be performed. Copies of the detailed estimates on company letterhead are to be uploaded as part of this application. To add another estimate, click the '+' sign to the right of the first entry.
Name/Company Email Address Cost Estimate ($)
Checklist of supporting documents.*
Select each file required as part of the application.
- Site Photos Existing Conditions
- A site plan and/or professional design/study/architectural drawings (if applicable)
- A detailed description of the proposed project, including a work plan and construction drawings
- Additional reports that support the application, as necessary (for example, environmental report)
- Minimum of two (2) quotes from licensed contractors
- Owners authorization of applicant.
File*
Drop files here or

Accepted file types: pdf, jpeg, png.
Upload all supporting documents/plans/estimates/photos here, files are limited to 25mb.

Consent*
I/We hereby certify that the information contained in this application is true, correct and complete in every respect and may be verified by the City by such inquiry as it deems appropriate, including inspection of the property for which the application is being made.*
Consent*
I/We hereby agree that if any statements or information in this application or submitted in support of this application are untrue, misleading or there is a material omission, the application may be rejected or not approved, or the grant may be delayed, reduced or cancelled.*
Consent*
I/We hereby apply for a grant under the City of Sarnia Community Improvement Plan and agree to abide by the terms and conditions of the CIP Program.*
Consent*
I/We hereby agree to enter into a Grant Agreement with the City of Sarnia, to the satisfaction of the City Solicitor that specifies terms of the grant, and agree to abide by the terms and conditions of the Grant Agreement.*
Consent*
I/We hereby provide(s) consent, for the purposes of the Freedom of Information and Protection of Privacy Act, to the City of Sarnia to use and disclose personal information to any person or public body that is collected under the authority of the Planning Act for the purposes of this application.*
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Property Owner Information

Name/Company	Email Address	Cost Estimate ($)