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The Town and Country Planning (Development Procedure) (No2) Order 2013
1600638
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: 6-6-16
Receipt number: 877955
000115017229
THE NY STROOM, WILBERRY GREEN, DOUGLAS, IM2 6DE
DOUGLAS.
a) Full approval for development involving building or engineering works.
b) Change of use of land or buildings not involving building or engineering works.
c) Approval in principle - please specify below which matters are to be determined now:
| | | | | --- | --- | --- | | Siting | ☐ Internal layout | ☐ | | Design | ☐ Means of Access | ☐ | | External Appearance | ☐ Landscaping | ☐ |
Please ensure that details of the matters selected above are provided.
d) Approval of reserved matters relating to a previous approval in principle BUILDING COPY
Please provide the reference number of the approval in principle applicable DEVIED ON
Please specify below which matters are to be determined now:
| | | | | --- | --- | --- | | Siting | ☐ Internal layout | ☐ | | Design | ☐ Means of Access | ☐ | | External Appearance | ☐ Landscaping | ☐ |
Ref. No.
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 if the proposal is for a condition variation or removal.
Ref. No.
MUMBA MOUDINGS
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
33 137 ATHOL STREET, DOUGLAS, Postcode IM2 1LR
Telephone number
Home Work
Applicant's e-mail address
Putting the Customer First
PA Form 2(i)
Telephone number Agent's e-mail address
RICHMOND SQUARE DESIGN LIMITED, THE ESTATE OFFICE, CAKHILL, PORT SODERICK, 15LE OF MAN. Postcode IM4 1AT
01624 625610 [email protected].
Please note correspondence is preferred and may be more expeditious via email
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 Applicant
Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01). 6. Name and Address of:
a) the site owner, if different from the applicant. Please state all names, in- cluding first names in full.
b) The name of occupier or tenant of the site if different from above.
c) Does the applicant own or control any additional land within the vicinity of the application. If yes, you must outline the additional land in blue on the site plan.
Yes ☐ No ☑
Applicant's interest in the site (e.g. owner, tenant, potential purchaser)
Relevant Fee Enclosed (where required) Please note the application will remain invalid until the application fee is paid in full. Cheques should be made payable to IOM Government.
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.
b) Please state the proposed use of the site.
b) Works proposed to a Registered Building. If yes, please quote the RB number and complete an application for Registered Building Consent to accompany this form (form RBAP).
Enf No. Started Completed
PA Form 2(1)
| THE | E | ECTION | OF | A | BOUNDAR | Y | ENCE | | ASSOCIATED | PLANTING | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | |
DEFA ☐ Douglas Corporation ☐ Onchan District Commissioners ☐
c) The date of submission.
d) Building Regulations reference number (if known)
Please detail the drawings or reference number and/or date of all plans submitted in support of this application.
Should any plans be missing, the application will be considered incomplete and returned with a request for missing plans to be submitted.
Please continue on a separate sheet if necessary.
| Plan | Dated | Ref No | | --- | --- | --- | | Site Plan | | | | Locations Plan | | | | REFER TO DRAWING ISSUE SWEET | | | | MM XDI PP | | | | | | |
A copy 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.
PLEASE ALSO ENCLOSE one copy of
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
J. J. McKee
Dated 31/05/16.
If signing on behalf of a company, please clearly state your relationship.
PART II ARCHITECT
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) on your 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 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]
PA Form 2(1)

This check list is aimed to assist the applicant in preparing an application and subsequently the Department's administration staff in validating the application and the Planning Officer in their assessment of the proposal, by ensuring that the necessary supporting information accompanies the application.
For office use only
Ref:
Please note that the checklist includes some items, which in some instances, it may be helpful for applicants to include as additional material to support their application, which is over and above the statutory requirements as stated within Schedule 1 [Article 4(1)(a)] of the Town and Country Planning (Development Procedure)(No2) Order 2013.
This form must be attached to your application (one copy should be completed per application).
Failure to complete and include this form with your application will result in your application being returned.
Please tick the boxes as necessary. Where detail is not applicable to the application please note 'N/A' accordingly.
| Site Address | TIME N/2 SIRCOAN, MILBERRY GREEN, DOUGLAS, | | --- | --- | | | IM2 6DE. | | 1. I have referred to the Guidance Booklet 'Making a Planning Application'. | 0 3 JUN 2016 | | 2. I have consulted with the Network Planning Officer of the Department of Infrastructure, Highway Services, to agree access issues (where appropriate). | ☑ | | 3. I have included one fully completed application form and three copies of same (two for windows). | ☑ | | 4. The correct fee of £ 55.00 is enclosed - Cheques should be made payable to the Isle of Man Government. | ☑ | | 5. Is the building Registered? If Registered, and the works are external you will need planning approval and to complete the appropriate Registered Building Consent application form. Internal works to a registered building need only registered building consent. | ☑ | | 6. If your application is for works to a Registered Building, please provide a Photographic Survey with your application. | ☑ | | 7. The address is accurate and the description of the proposed work is clear and appropriate for the development. Field numbers can be obtained from Department of Infrastructure - Cartography. Tel +44 1624 685923. | ☑ | | 8. CERTIFICATE OF LAND OWNERSHIP - The appropriate certificate/statement is enclosed. This certificate is mandatory. No application will be processed until such time as the certificate is submitted. | ☑ | | 9. Please indicate if the Applicant and/or Owners of the site is either an employee or member of the Planning and Building Control. | ☑ Yes |
Where the Applicant and/or Owner of the site is a family relation of either an employee or member of Planning and Building Control, please enclose details with the application form.
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Signed Print Name in BLOCK LETTERS TARA UACKSON.
Dated 31.05 .16
Planning and Building Control Directorate Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624685950 Fax: +44 1624686443 Email: [email protected]

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.
I certify that the accompanying application is made by or on behalf of the owner of the land, namely:
MUMBA HOLDINGS LIMITED.
(Full names in CAPITAL letters)
who is:
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.
I certify that appropriate written notice of the accompanying application has been given by or on behalf of the applicant to:
The persons upon whom notice was issued are:
| Name & Address | Name & Address | 03 JUN 2016 | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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