Application for Express Consent

Please complete in BLOCK CAPITALS and in black ink.

The person here below named as the applicant is responsible for payment of the appropriate fee.

All relevant questions on this form must be answered.

Guidance notes are available on request.

For office use only

Date: ______

Receipt number: 905328

CARD 2160.00

1. a) Full name of applicant

DAVID CHRISTIAN PARANER

Please include all first names and surname or full details where an applicant is "trading as" or a limited company.

| | | | | --- | --- | --- | | b) Address of applicant | 20 A DUKES ST | | | | DOUGLAS I.O.M | Postcode IMIZAY | | Telephone number | Home | Work 301433 | | Applicant E-Mail Address | FUNCTION: 1001 & GMAIL: COM | | | 2. a) Full name of Agent | | | | b) Address of Agent | | | | | | Postcode | | Telephone number | | | | Agent E-Mail Address | | |

c) If using an Agent, please indicate if the Agent is to be issued with the acknowledgement letter and undertake the responsibility for affixing the site at the development site.

Please Note: If this box is not completed all correspondence will be directed to the Agent.

1. Site of hoarding or advertisement.

TO THE REAR OF 20 DUKES ST, DOUGLAS. MILKIE GAT

1. Applicant's interest in the site. (e.g. owner, tenant, potential purchaser)

TENANT

Please ensure that the following information (question 5) corresponds with the details included in the accompanying and compulsory certificate of ownership (certificate O2).

1. Name and Address of:

a) The site owner, if different from the applicant. Please state all names, including first names in full

b) The name of occupier or tenant of the site if different from above.

| | | | | --- | --- | --- | | BROAD OAK INVESTMENTS LTD | | | | BRIOGE HOUSE GLENN Rd, | | | | COLBY | | Postcode IM94PA | | | | | | | | | | | | |

Putting the Customer First ADV1(7)(i)

6. Local Authority District.
7. Description of the proposed development. INCLUDE content (text and graphics), size, construction and whether illuminated. If so, ALL details must be provided

SEE ATTACHED PICTURE 8. Is the hoarding/advertisement intended to be permanent or of a more temporary nature? If temporary please state duration.

PERMANENT

22. Statement - I hereby enclose four copies of:

• This application form
• and all supporting plans and attachments which must include;

Drawings of the proposed hoardings or advertisement (drawn to metric scale) giving sufficient dimensions to show its size construction and site together with:

• Complete information as to the type and colouring of the matter to be displayed
• A Location Plan, a current up to date plan in order to identify the site (these can be purchased from Planning and Building Control)
• A Site Plan detailing the site of the advert/hoarding in red. Showing the position of the buildings and properties immediately adjoining, along with the size and position of every other building within that curtilage.
• The scale shall be indicated on all plans, sections and drawings and the North point shall be indicated on block plans and key plans.
• The fee, where appropriate must be included with the forms - cheques must be made payable to the Isle of Man Government.
• A copy of this application will be forwarded to the Local Authority in which the site is situated, and the Network Planning Officer, DOI Highways Division.

ALSO ENCLOSED is a Certificate of Land Ownership (Certificate 02 - one copy) In accordance with Regulation 11(2)(c), should further information be requested and the Applicant fails to comply with that direction after a minimum period of 21 day, the application shall be deemed withdrawn.

To the best of my knowledge and belief all the information given in this application is true, and the documents provided herewith are accurate.

Signature of Applicant or Agent

Dated

10 / 5 / 2018

If signing on behalf of a company, please clearly state relationship. Should this application be unsupported by adequate and clear site maps and plans outlining all the works proposed, the Department retains the right to refuse acceptance and return the application. Note: no works may be commenced until such time as - a) On receipt of the planning Decision Notice the time period for requesting an appeal has expired and no such appeal has been requested; or b) Any Appeal has been completed.

Planning and Building Control Directorate <br> Department of Environment, Food and Agriculture <br> Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF

Tel: +44 1624685950 Fax: +44 1624686443 Email: [email protected]