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| 5. | a) Full name of Agent | MAOX CHANGE CLARING LTD. | | | --- | --- | --- | --- | | | b) Address of Agent | SOUNDBOROUGH TRAINING ESTATE BROADBAND | Postcode 20121414 | | | Telephone number | | | | | Agent's e-mail address | | |
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.
Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01).
a) the site owner, if different from the applicant. Please state all names, including first names in full.
| | Postcode | | --- | --- | | | |
b) The name of occupier or tenant of the site if different from above.
| | Yes | No | | --- | --- | --- | | | | |
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.
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 ZONY 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.
a) Please state the proposed use of the site.
| | Yes | No | | --- | --- | --- | | | | |
b) a) Development within a Conservation Area. If yes, please include details of any demolition involved on a separate sheet.
a) Works proposed to a Registered Building. If yes, please quote the RBI number and complete an application for Registered Building Consent to accompany this form (form RBMF).
| End No. | Started | Completed | | --- | --- | --- | | | | |
| PROPOSED REPLACEMENT OF EXISTING TIMBER DOOR AND REPLICHT WITH USED COMPONENTS DOOR AND REPLICHT IN VEN AROSEGOOD. | | | --- | --- | | |
| | Yes | No | | --- | --- | --- | | | | |
Have you consulted with Highway Services?
| | Yes | No | | --- | --- | --- | | | | |
Please confirm the number of parking spaces within the site.
| | Yes | No | | --- | --- | --- | | | | |
| | Yes | No | | --- | --- | --- | | | | |
| a) Gas | Yes | No | | --- | --- | --- | | b) Electricity | Yes | No |
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.
a) How will foul sewage from the proposed development be disposed of?
b) How will foul sewage from the proposed development be disposed of?
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.
a) Are there any trees or hedges on adjacent land that might be affected by the proposal?
| | Yes | No | | --- | --- | --- | | | | |
b) Are there any trees or hedges on adjacent land that might be affected by the proposal?
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 "topped" or "hilled" 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.
Are the proposed works within 8 metres of any watercourse (river, ditch or otherwise)? If so, you are advised to contact DEFA for further guidance in respect of this application.
Have you received pre-application advice from a Planning Officer?
| | Yes | No | | --- | --- | --- | | | | |
If yes, please state the Officer's name and the date of their response.
| | Yes | No | | --- | --- | --- | | | | |
| | Yes | No | | --- | --- | --- | | | | |
| | Yes | No | | --- | --- | --- | | | | |
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| | Yes | No | | --- | --- | --- | | | | |
| | Yes | No | | --- | --- | --- | | | | |
| | Yes | No | | --- | --- | --- | | | | |
| PA Form 1.9(1) | | | --- | --- | | PA Form 1.9(1) | |

Town and Country Planning Act 1999 Town and Country Planning (Development Procedure) (No 2) Order 2013
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:
AARON GREIG & KAMBERLEY DAWSON
(Full names in CAPITAL letters)
who is:
(a) the full*//limited* owner of the freehold*/leasehold* estate in the land (*delete as appropriate); 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.
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 | | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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

When 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. 10. Illustration of the existing site/buildings, incorporating floor plans, elevations and sections (as necessary). The plans must clearly show the existing relationship with neighbouring properties and land boundaries. Floor plans and elevations must be to a metric scale of either 1:50 or 1:100.
Signed PwCctiws Print Name in BLOCK LETTERS P.W.COLLISTOR
Dated 5TH FEBRUARY 2016 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]
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