Development Application Planning and Development Department Please ensure all applicable sections of this form are completed and all applicable requirements are provided.

I/We understand that this application is subject to further review and approval, and acceptance of this application by the Planning and Development Department should not be considered as final approval. [...] I/We attest that all the information provided as part of this application is true and correct to the best of my/our knowledge. [...] This Preliminary Plan Approval is hereby issued in accordance with the submitted application and such plans and information forming part thereof, subject to compliance with the provisions of the Zoning Bylaw, the Development Cost Charges Bylaw, and all other relevant bylaws of the City of Burnaby, and subject to the following conditions: (Signature) (Issue Date) RELATED APPLICATIONS MUST BE MADE B. [...] I, owner/authorized agent for the above described property, acknowledge and agree to the conditions attached to the approval of application for Preliminary Plan Approval. [...] (Signature) (Finalled Date) P:\44000 PPA\01 General Info\01 Templates\Forms\PPA Approval Form 2022.10.23.docx Check Box1: Off Check Box2: Off Check Box3: Off Check Box4: Off Check Box5: Off Check Box6: Off Check Box7: Off Check Box8: Off Check Box9: Off Check Box10: Off Check Box10-1: Off Check Box11: Off Check Box12: Off Check Box13: Off Check Box14: Off Check Box15: Off Check Box16: Off Site Add.