Please provide details of any supporting information or other details that you would like the Planning Officer to take into account. Please note that you may use a separate sheet to complete this section.

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Certificate of Land Ownership PLANNING APPLICATION

This certificate provides confirmation that the owner of the land which is the subject matter of the application is either the applicant or is fully aware of the application.

The certificate constitutes a statement of ownership and is not proof of ownership.

The applicant is requested to complete either Statement A or Statement B and return the completed certificate along with the planning application form and any supporting documents.

NO APPLICATION WILL BE PROCESSED UNTIL SUCH TIME AS THE CERTIFICATE IS SUBMITTED.

1. STATEMENT A: Land owner is applicant

I certify that the accompanying application is made by or PUBLICING COPY of the land, namely:

Mrs J. HASSON

(Full names in CAPITAL letters)

who is:

(a) the Choose one owner of the Choose one estate in the land; and
(b) in full possession of every part of the land to which the application relates.

If the application is made on behalf of the land owner, a certified copy of the power of authority signed by the owner authorising the application on his behalf is attached hereto.

2. STATEMENT B: Land owner is not the applicant

I certify that appropriate written notice of the accompanying application has been given by or on behalf of the applicant to:

(a) the land owner (referred to in statement A of this certificate); and
(b) to any person who at the time of the making of the application was:
- (i) a person then in actual possession
- (ii) the trustee of a trust or settlement if a beneficiary under the trust or settlement was in actual possession and no person other than such a beneficiary was entitled to enter into actual possession within a period of 40 years; and
- (iii) a person, not being a person falling within (a) or (b) (i) and (ii), entitled to enter into actual possession within a period of 40 years.

The persons upon whom notice was issued are:

| Name & Address | | Name & Address | | | --- | --- | --- | --- | | | | | | | Interest | | Interest | | | Date | | Date | |

The Department of Food and the Environment (DEFA) is a data controller for the purposes of the Data Protection Legislation and will only process your data in accordance with the principles in that Act. The processing of any personal data is necessary to comply with The Town and Country Planning (Development Procedure)(No2)Order 2013. DEFA will only hold your data for as long as is necessary for that purpose, and in accordance with our P&BC Privacy Notice, details of which can be found on our website.

| Signature Applicant/Agent | Date | | --- | --- | | | |

Planning and Building Control Directorate, Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624 685950 Fax: +44 1624 686443 Email: [email protected]

Certificate 01.1(i)

111635