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Isle of Man Government, Department of Environment, Food & Agriculture Bucks Road, Douglas, IM1 3PN T: 01624 685950 E: [email protected] Ref: DSFX1624434768507 1 / 5 The Town and Country Planning Act 1999 Town and Country Planning (Registered Buildings) Regulations 2013 as amended Application for Registered Building Consent Site Address Street Address * 9 Third Avenue Town/City * Onchan Postcode * IM3 4LZ Applicant Address Is the applicant's address the same as the site address? * No

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Ref: DSFX1624434768507 2 / 5 Applicant Details Please provide the Applicant's Name and/or the applying Company Name. Name Title Mrs First name(s) Amanda Surname Macnair Company name Cumana Limited Street address * Barleymow The Windmill Arbory Road Town/City* Castletown Postcode* IM9 1HA Telephone number * Mobile number Email * Applicants Interest Is the applicant the owner of the site? * Yes Agent Details Are you an agent acting on behalf of the applicant?* Yes Redacted Redacted

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Ref: DSFX1624434768507 3 / 5 Agent Details Please provide the Agent's name and/or Agency name. Name Title Mr First name(s) Jeremy Surname Humphries Agency name Modus Architects Limited Street address * 5 Parliament Square Town/City* Castletown Postcode* IM9 1LA Telephone number * 825852 Mobile number Email * [email protected] Acknowledgement Correspondence 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. The Acknowledgement letter and Site Notice should be sent to * Agent

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Ref: DSFX1624434768507 4 / 5 Description and Schedule of Works Description of works* Demolish existing rear outlet. Erect new single storey ground floor rear extension. Registered Building Number (If Registered) This form may be used for demolition in a conservation area. n/a Have you consulted the Department prior to making this submission? * No Schedule of Work Location in the Building. e.g. numbered indicator on a floor plan, i.e. Area 1 on Floor Plan. Rear yard Feature or element of the building fabric to be affected. e.g. front entrance door, staircase. Existing outlet. How will this feature or element be affected by the proposals, e.g. inappropriate glazing replaced by stained glass. Existing outlet to be demolished. Declaration 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 (Registered Buildings) Regulation 2013 (as amended). 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 the 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 the DEFA processes your personal information are contained in our privacy P&BC Privacy Notice on our website here. The Data Protection Officer can be contacted on 686781 or by email at [email protected] Statement I hereby apply for Registered Building Consent to carry out the alterations and/or extensions to the building described by this application, as shown on the enclosed plans and in accordance with the enclosed drawings. ✓ To the best of my knowledge and belief all the information given in this application is true, and the documents provided herewith are accurate. Full Name * Jeremy Humphries (for and on behalf of Modus Architects Limited) Capacity If signing on behalf of a company, please clearly state your relationship. Director Date * 23/06/2021

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Ref: DSFX1624434768507 5 / 5 Email confirmation On submission an email confirmation will be sent using the details below Forename Jeremy Surname /Company Name * Humphries Email* [email protected] Telephone 825852