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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 publicise 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 us to process your application. Full details of how and why DEFA PB&C processes your personal information are contained in our PB&C 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:

23. Statement

• This application form
• All supporting plans and documentation which must include:
• A location up to date and at a scale of 1:500 to 1:1250 or greater if required
• A site plan of not less 1:500

A schedule of drawings/plans.

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, DOJ 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.

Redacted

Signature of Applicant or Agent

Redacted

14/9/2020

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 proposed, the Department retains the right to reject acceptance and return the application.

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

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.

1. Site address details (including a post code where applicable).

HILDESLEY ROAD, DOUGLAS, IM2 5AZ

2. Local Authority District.

Redacted

3. Please state the type of application (choosing one box as appropriate): a) Full approval for operational development (e.g. involving building or engineering works) b) Change of use of land or buildings not involving any physical alteration. c) Approval in principle d) For approval of reserved matters relating to a previous approval in principle.

   Please provide the reference number of the approval in principle application Applications under c) or d)

   Please indicate any matters to be determined by this application:

   • Siting
   • Landscaping
   • Drainage
   • Means of Access
   • Internal layout (inside buildings)
   • External appearance
   • Design
   • (Please ensure that details of the matters selected above are provided)

   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.

   Redacted

4. Is the application retrospective

   If yes, please state the date that the building work or use was started/completed.

   Redacted

5. Full name(s) of applicant

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6. Full name(s) of applicant

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7. Full name(s) of applicant

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

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| 6. | Address of applicant | 12 HILDELLY ROAD, DOKLAT | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | | | | | Postcode | | | | | | | Telephone number | Home | Work | | | | | | | Applicant's e-mail address | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |