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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: | |
Land adjacent Ballacubbon Farmhouse
off Dreem Bally Cubbon, Main Road, Colby
Arbory
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:
Please ensure that details of the matters selected above are provided.
d) Approval of reserved matters relating to a previous approval in principle.
Please provide the reference number of the approval in principle application.
Please specify below which matters are to be determined now:
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.
Department of Infrastructure - Housing Division
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
Markwell House, Market Street
| Douglas | Postcode IM1 2RZ | | --- | --- | | Home | Work |
Telephone number
Applicant's e-mail address

Telephone number Agent's e-mail address
McGarrigle Architects 19 Mount Havelock Douglas Postcode IM1 2QG 628141 [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. 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. Postcode 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 7. Applicant's interest in the site (e.g. owner, tenant, potential purchaser) owner 8. 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. 9. a) Please state the existing use of the site (e.g. residential, office, retail etc.) vacant plot b) Please state the proposed use of the site. residential development 10. a) Development within a Conservation Area. If yes, please include details of any demolition involved on a separate sheet. Yes 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). Yes RB No. 11. Are the activities Retrospective or as a result of an Enforcement Enquiry? If as a result of an enforcement enquiry please quote reference and the date that the building work or use was started/completed. Yes Completed No No No No No ☑
Enf No. Started Completed
PA Form 1.9(i)
Have you consulted with Highway Services? Please confirm the number of parking spaces within the site. existing 0 proposed 48 14. Does your proposal involve a change in site levels?
If yes, please provide drawings showing the change in site levels (e.g. spot levels or site sections). Please also include a method statement detailing the proposed means of importing fill and/or the means of exporting the fill, including details of the expected quantities involved.
Yes \square No \square 15. Please specify below whether the proposal requires new or amended services: a) Gas Yes \square No \square c) Water Yes \square No \square b) Electricity Yes \square No \square d) Telecommunications Yes \square No \square
The applicant should consult the service providers separately in order to establish the location of existing services and the impact of the proposed works on existing services. See guidance notes. 16. a) How will rainwater run-off from roofs and paved surfaces be disposed of? to existing s.w.system b) How will foul sewage from the proposed development be disposed of? to existing f.w. system c) If a septic tank/Biodisc system is proposed, please provide details demonstrating that the septic tank/Biodisc would be acceptable under Building Regulations - See guidance notes. 17. a) Are there trees or hedges on the proposed development site that might be affected by the proposal? \square Yes \square No \square b) Are there any trees or hedges on adjacent land that might be affected by the proposal? Yes \square No \square If you answered Yes to either of the above, then your application will need to included an accurate survey drawing showing the position of the trees and hedges and their canopy spread in relation to the proposed works. You must provide details of any trees which are to be 'lopped' or 'felled' as a result of the proposal. The above works must be discussed with the Departments Forestry, Amenity & Lands Directorate before the application is submitted. The Planning Authority may also require you to submit a Tree Survey. 18. Are the proposed works within 8 metres of any watercourse (river, ditch or otherwise)? If Yes \square No \square so, you are advised to contact DEFA for further guidance in respect of this application. 19. Have you received pre-application advice from a Planning Officer?
If yes, please state the Officer's name and the date of their response.
Sarah Corlett
Date August 2015
| see enclosed planning statement | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

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:
Department of Infrastructure
(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 | | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Interest | Interest | | | | | | | | | | | | | | | | | | | | | | | | | | Date notified | Date notified | | | | | Signature Applicant/Agent | | | | | | | | | | | | | | | | | | | | | A.G.Lynne | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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] | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

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 | Land adjacent Ballacubbon Farmhouse off Dreem Bally Cubbon, Main Road, Colby | | --- | --- | | | |
| Yes | ☐ | | --- | --- | | No | ☑ |
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.
Continue overleaf
Putting the Customer First
Form PL.7(i)
Signed Dated
Alistair Lynne
Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +441624685950 Fax: +44 1624686443 Email: [email protected]
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