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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: | | | 00015024984 | |
Hampton Manor, Quines Hill, Port Soderick IM4 1BA
SANTON BRAZON
Please provide the reference number of the approval in principle application (applications under c) or d).
| Ref. No. | | | --- | --- | | ☐ | | | ☐ | | | ☐ | | | ☐ | | | ☐ | |
Please indicate any matters to be determined by this application:
| Siting | | | --- | --- | | Landscaping | | | ☐ Drainage | | | ☐ Means of Access | | | ☐ Internal layout | | | (inside buildings) | | | ☐ External appearance | | | ☐ Design | |
(e) Variation of a condition. Please specify the condition number and the reference number of the relevant planning application and indicate within the works description if the proposal is for a condition variation or removal.
| Condition No. | | | --- | --- | | ☐ | | | ☐ | | | ☐ | | | Ref. No. | |
If yes please state the date that the building work or use was started/completed.
| Yes | ☐ | ☐ | ☐ | | --- | --- | --- | --- | | ☐ | ☐ | ☐ | ☐ |
| Started | Completed | | --- | --- | | | |
| Enf No. | | | --- | --- | | ☐ | |
Mr David Wormald
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
Putting the Customer
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6 b) Address of applicant | 64 King Edward Road, Onchan, | | --- | --- | | | Postcode | IM3 2AT | | Telephone number | Home | Work | | Applicant's e-mail address | | | 7. Applicant's interest in the site (e.g. owner, tenant, potential purchaser) If DEFA has (or could be deemed to have) an interest in the appreciation or site, please state what that interest is in your answer. | OWNER | | 8. a) Full name of Agent (IF ANY) | TECHNICAL DRAWING SERVICES | | b) Address of Agent | 4 COLLEGE GREEN CASTLETOWN ISLE FO MAN | | | | Postcode | IM9 1BE | | Email correspondence will be used where possible | | | Agent's e-mail address | [email protected] | | Telephone number | 363822 | | c) If you are using an Agent, please specify whether the acknowledgement letter and Site Notice should be sent to the Agent or Applicant, who will be responsible for affixing the Site Notice at the site. Please Note: If this box is not completed all correspondence will be directed to the Agent. | Agent | | | | Applicant | ☑ |
Extension to the rear of the house to create additional living accommodation
If yes and involves demolition OR the works are to a Registered Building, a Registered Building Consent application will be required.
If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres This area should be used to where the fee calculus requires it.
Where the application is exempt from a fee under the current fees order, please state the registered charity number.
| £ | 300 | | --- | --- | | Area | 47M2 |
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Have you consulted with Highway Services? Please confirm the number of parking spaces within the site. existing \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square \square $\
The Department of Environment, Food & Agriculture is a data controller for the purposes of the General Data Protection legislation and requires the information on this form to comply with its legal obligations under the Town and Country Planning Act 1999 and subordinate Town and Country Planning (Development Procedure) Order 2019.
Your personal information will be held by the DEFA for the purposes of processing this application and may be used to ensure compliance with the provisions of the Town & Country Planning Act and in particular Part 4 Enforcement of Control.
Some of the information you provide, such as your name, address, and contact detail will be shared at our public counter, with the Local Authority and as part of the application image via our online service, in order to give notice and publicize receipt of the application. It may also be shared within the DEFA or other Government Departments, boards, or offices for the purposes of statutory functions.
We will only keep these details for as long as we require them, and in accordance with General Data Protection legislation.
You may withdraw your details at any time if you no longer wish to process your application. Full details of how and why DEFA P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website.
The Data Protection Officer can be contacted on 686781 or by email at [email protected].
I hereby enclose four copies of the following:
Notification of this application will be forwarded to the Local Authority in which the site is situated and, where not an application relating to windows, the Network Planning Officer, DOI Highway Services.
If applicant owns or controls any additional land within the vicinity of the application, please indicate the additional land in blue on the site location plan.
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 January / 2020
If signing on behalf of a company, please clearly state your relationship.
Should this application be unsupported by adequate and clear site maps and plans outlining all the works.
Note: no works may be commenced until such time as:
a) after receipt of your 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 Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF
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