Municipal Streetscape Partnership Program Preliminary Application Form

Preliminary Design Application Form

Date

Municipality

Project Name

Contact Name/ Title

E-Mail

Telephone Number

Please limit your responses to the space provided

Project Location (Street Name/Extents)

Special Notes

Construction Schedule Start Date

Construction Schedule Finish Date

Policy Direction/Vision

*Attach Policy documents

One file only.
60 MB limit.
Allowed types: jpg, png, bmp, tif, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, dmg.

Scope of Work

Select which category of funding the project is eligible under the MSPP

A - 50% Region Funding (proposal aligned with York Region Capital project)

B - 33% Region Funding (proposal not aligned with York Region Capital project)

Please specify

50% Region Funding, please specify the Capital Project and Project Manager’s name

Streetscape Cost Estimate $

Streetscape Consultant Fee $

Total Cost Estimate $

Region Funding $

Amount being applied for

*Attach Cost Estimate Spreadsheet

One file only.
60 MB limit.
Allowed types: jpg, png, bmp, tif, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, dmg.

Note: All costing information shall align with the cost estimate, otherwise the entire application will need to be resubmitted.