1. Please provide details of any supporting information or other details that you would like the Planning Officer to take into account. Please note that you may use a separate sheet to complete this section.

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| 5. a) Full name of Agent | | | --- | --- | | b) Address of Agent | | | | Postcode | | 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).

1. Name and Address of:
2. 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. | | | 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 | | | |

1. Applicant's interest in the site (e.g. owner, tenant, potential purchaser)

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1701089 Town and Country Planning Act 1989

Town and Country Planning (Development Procedure) (No 2) Order 2013

Certificate of Land Ownership

PLANNING APPLICATION

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.

1. STATEMENT A: Land owner is applicant

I certify that the accompanying application is made by or on behalf of the owner of the land, namely:

MARIE MCLAREN

(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.

2. STATEMENT B: Land owner is not the applicant

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 | | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |