11. Any person or partnership applying for a temporary certificate of compliance must provide the agency with the following information and documents:(1) the name and contact information of the applicant and the officers of the residence;
(2) the address where the applicant wishes to receive correspondence, if different from the address provided for the applicant under subparagraph 1;
(3) the name and address of the residence for which the application is made;
(4) where applicable, the name of any residence for which the applicant holds or has held a temporary certificate of compliance or a certificate of compliance;
(5) where applicable, a copy of the registration declaration filed in the enterprise register pursuant to the Act respecting the legal publicity of enterprises (chapter P-44.1), and the business number assigned to the applicant;
(6) the category or categories of private seniors’ residence that the applicant intends to operate;
(7) a description of the target clientele, of all the services to be offered in the residence and their cost, and of the residence’s capacity for providing services and receiving persons with a disability;
(8) the number of rental units planned for the residence, specified in terms of rooms and apartments;
(9) a written declaration by the applicant, in the case of a natural person, and by each officer of the residence and, where applicable, by each director, stating that they are aware of all the relevant provisions of the Act and the provisions of this Regulation and that they undertake to comply or ensure compliance with those provisions from the beginning of the period of validity of the temporary certificate of compliance;
(10) a written declaration by the applicant and by each officer of the residence and, where applicable, by each director, who is, or has been, charged with or convicted of an indictable or other offence, unless, in the case of a conviction, a pardon has been obtained, along with all the information required for the verification of the declaration by a police force and written consent, from the person concerned, to the verification and to the disclosure of the results of the verification to the agency by the police force;
(11) an attestation from the municipality where the residence will be situated confirming that the project does not violate any zoning by-law;
(12) an attestation from a professional, such as an architect or engineer, confirming that the building or part of a building that will be used for the residence complies with the requirements of the Construction Code (chapter B-1.1, r. 2) and any other regulatory provision made under the Building Act (chapter B-1.1) or the Public Buildings Safety Act (chapter S-3) concerning such use.