MississaugaZoningZoning By-law

Statutory Declaration for a Resident Physician, Dentist, Drugless Practitioner or Health Professional

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. 05/08
Also called: Resident Physician, Dentist, Drugless Practitioner or Health Professional Declaration
Form reference: subsection 1.1.13 of the City of Mississauga Zoning By-law No. 225-2007
For: any
Signed by: declarant · notary public
Building types: All building types
Pages: 1
Submit to: City of Mississauga, Building Division
Covers note: Read from the page images — the PDF is a scan with no text layer. The declaration prints numbered clauses rather than named sections, so these are the printed block headings and signature-block labels on its single page.
Instruments: City of Mississauga Zoning By-law No. 225-2007 · Medicine Act, 1991 · Dentistry Act, 1991 · Drugless Practitioners Act · Regulated Health Professions Act, 1991

Overview

A statutory declaration published with the City of Mississauga's building forms and sworn before a notary public in the matter of an application to establish an office for a resident physician, dentist, drugless practitioner or health professional in a detached dwelling. Its eight numbered clauses cover ownership or tenancy, the application to the City of Mississauga, Building Division for a Zoning Certificate of Occupancy, the Act the declarant practises under, principal residence, an 800.0 m radius from an existing office, one employee, and overnight accommodation of patients.

What it covers

IN THE MATTER OF
DECLARED BEFORE ME
Signature of Notary Public, etc.
Name of Notary Public, etc.
Address of Notary Public, etc.

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