MississaugaPlanning ApplicationsSite Plan

Environmental Site Screening Questionnaire and Declaration

Published by City of Mississauga

This is the City of Mississauga’s document, as published on its website on 19 October 2026. The municipality may have changed it since: check the current version at the source. Legal notice

Type: Form
Published by: City of Mississauga
Date: Rev. 2020 02
Also called: Environmental Site Screening Questionnaire and Declaration Schedule
Form reference: Form 2808
For: owner
Signed by: registered property owner or signing officer · commissioner of oaths
Building types: All building types
Pages: 1
Instruments: Corporate Policy 09-08-02 · Planning Act, RSO 1990, c.P.13

Overview

Mississauga's Environmental Site Screening Questionnaire and Declaration schedule, Form 2808, issued under Corporate Policy 09-08-02 for development applications. Twelve yes, no or uncertain questions ask about current and previous uses, land dedicated to the City, potential contamination from uses such as dry cleaning or gasoline stations, above and underground storage tanks, hazardous building materials, fill, septic systems, wells, Phase 1 ESA and a Record of Site Condition. The owner's declaration, sworn before a Commissioner of Oaths, releases the City and the Region of Peel from contamination claims.

What it covers

Environmental Site Screening Questionnaire and Declaration
For Development Applications – Corporate Policy 09-08-02
Address/Legal Description
Declared Before Me

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