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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: DSFX1625162938388 1 / 4 The Town and Country Planning Act 1999 The Town and Country Planning (Development Procedure) Order 2019 Minor Changes Application - to an existent planning approval Site Address The entered Site Address must match that of the existing approval. Street Address * 18 Hill Top Rise Farmhill Douglas Town/City * Isle of Man Postcode * IM2 2LE Applicant Address Is the applicant's address the same as the site address? * Yes
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Ref: DSFX1625162938388 2 / 4 Applicant Details Please provide the Applicant's Name and/or the applying Company Name. Name Title Mr & Mrs First name(s) Mark Surname Breakey Company name Street address * 18 Hill Top Rise Farmhill Douglas Town/City* Isle of Man Postcode* IM2 2LE Telephone number * 01624 664916 Mobile number Email * [email protected] Agent Details Are you an agent acting on behalf of the applicant?* Yes
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Ref: DSFX1625162938388 3 / 4 Agent Details Please provide the Agent's name and/or Agency name. Name Title First name(s) Surname Agency name JTM Architecture Ltd Street address * The Basement 16 Derby Road Douglas Town/City* Isle of Man Postcode* IM2 3ET Telephone number * 01624 664916 Mobile number Email * [email protected] Details of the Proposed Amendment Reference number of the planning approval you wish to amend * 21/00117/B Please describe the proposed amendment *
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Ref: DSFX1625162938388 4 / 4 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 legislation. 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. 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 P&BC Privacy Notice on our website here. The Data Protection Officer can be contacted on 686781 or by email at [email protected]. ✓ I/We hereby apply for amendment to an approval, in respect of the matters set out and in accordance with the information submitted herewith. The amendment detailed in this application is the ONLY change proposed from the approval as issued Full Name * John McCarrick Capacity If signing on behalf of a company, please clearly state your relationship. Date * 01/07/2021 Fee On submission of this form we shall validate your application and send a confirmation email to you (the applicant). This email will contain a link to our payment site for any payment(s) required to support your application. Failure to pay the correct amount (if applicable) will result in a delay, refer to the relevant fee table(s) for clarification. Where fee(s) are exempt please enter £0. See Relevant 'Fees Order' on our website here. Confirm the Minor Changes Application fee payable. 105 Email confirmation On submission an email confirmation will be sent using the details below Forename Surname /Company Name * JTM Architecture Ltd Email* [email protected] Telephone 01624 664916
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