The Town and Country Planning Act 1999

The Town and Country Planning (Certificates of Lawful Use or Development) Regulations 2005 – as amended

Application for a Certificate of Lawful Use or Development

Please complete in BLOCK CAPITALS and in black ink.

The person here below named as the applicant is responsible for payment of ON the appropriate fee.

All relevant questions on this form must be answered:

For office use only

Date:

Receipt number: N/A

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1. Site Address. A plan must accompany this application to identify the land. The site should be outlined in red.

2. a) Full name of Applicant

   b) Address of Applicant

   Telephone number: ______________________________

   Applicant E-Mail Address: ______________________________

3. b) Address of Applicant

   Telephone number: ______________________________

   Applicant E-Mail Address: ______________________________

4. a) Full name of Agent (if any)

   b) Address of Agent

   Telephone number: ______________________________

   Agent E-Mail Address: ______________________________

5. a) Full name of Applicant

   b) Address of Applicant

   Telephone number: ______________________________

6. a) Full name of Agent (if any)

   b) Address of Agent

   Telephone number: ______________________________

7. a) Full name of Agent (if any)

   b) Address of Agent

   Telephone number: ______________________________

8. a) Full name of Agent (if any)

   b) Address of Agent

   Telephone number: ______________________________

9. a) Full name of Agent (if any)

   b) Address of Agent

   Telephone number: ______________________________

10. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

11. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

12. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

13. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

14. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

15. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

16. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

17. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

18. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

19. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

20. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

21. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

22. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

23. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

24. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

25. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

26. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

27. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

28. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

29. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

30. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

31. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

32. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

33. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

34. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

35. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

36. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

38. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

39. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

41. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

59. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

60. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

62. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

81. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

82. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

83. a) Full name of Agent (if any)

    a) Address of Agent

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84. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

85. a) Full name of Agent (if any)

    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

    Telephone number: ______________________________

90. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

    Telephone number: ______________________________

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    a) Address of Agent

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    a) Address of Agent

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    a) Address of Agent

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97. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

98. a) Full name of Agent (if any)

    a) Address of Agent

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99. a) Full name of Agent (if any)

    a) Address of Agent

    Telephone number: ______________________________

100. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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**a) Address of Agent**

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247. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

247. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

248. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

248. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

249. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

250. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

251. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

252. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

252. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

253. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

253. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

254. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

254. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

255. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

255. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

256. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

256. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

257. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

257. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

258. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

258. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

259. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

260. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

261. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

262. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

262. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

262. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

263. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

264. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

265. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

266. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

266. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

267. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

268. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

269. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

270. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

271. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

272. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

272. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

273. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

274. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

274. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

275. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

276. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

277. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

277. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

278. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

279. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

280. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

281. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

283. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

284. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

284. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

285. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

286. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

287. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

289. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

289. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2810. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2811. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

283. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

284. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

285. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

286. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

287. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

289. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

289. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2810. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2811. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

283. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

284. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

285. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

286. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

287. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

288. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

289. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2810. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

2811. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

282. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

283. a) Full name of Agent (if any)

**a) Address of Agent**

Telephone number: ______________________________

284. a) Full name of Agent (if any)

**a) Address of Agent (if any)**

**a) Address of Agent**

Telephone number: ______________________________

285. a) Full name of Agent (if any)

**a) Address of Agent (if any)**

**a) Address of Agent**

Telephone number: ______________________________

286. a) Full name of Agent (if any)

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

**a) Address of Agent (if any)**

6. On a separate sheet please provide your reasons, if any, for considering the use, operations or other matter described in this application as lawful. And state such other information that you consider relevant to this application. Where lawfulness is or a use, please provide evidence for the whole period of use relevant to this application.

7. Is the applicant the owner of the site?

• [ ] Yes
• [ ] No

The Department of Environment, Food & Agriculture (DEFA) is a controller for the purposes of the Data Protection Act 2018 and related legislation and requires the information supplied by this application in the public interest to comply with obligations under the Town and Country Planning Act 1999 and its subordinate Orders and Regulations.

Your personal information will be held by DEFA for the purposes of processing this application and to ensure compliance with the provisions of the Town & Country Planning Act 1999.

All applications made under these obligations are available online with most personal contact detail redacted. Any hard copy, where we hold it, will retain all detail.

Your application will be published via our viewing platforms may be required by statute. It will also be shared with the Local Authority.

Details under these applications are retained indefinitely in order to maintain the application register as required under the Town and Country Planning Act 1999. Contact detail will be removed 7 years after a decision becomes final.

Full details of how and why DEFA P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website.

If you would like further information on how your personal information is processed and your rights please contact the Department's Data Protection Officer on 686781 or by email at [email protected]

I/We the named applicant(s) hereby apply for a certificate of lawfulness, in respect of the matters set out above and in accordance with the information submitted herewith.

To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate.

I herewith enclose:

• a plan identifying the land to which the application relates; Note where the application has suggested 2 or more uses, operations or other matters, the plan which accompanies the application shall indicate to which part of the land each such use, operation or matter relates.
• such evidence verifying the information included in this form as I can provide.

Signature of Applicant or Agent

Redacted

Date

9/3/23

It is requested that three copies of this application form and all supporting statements and plans are forwarded to the address below.

The Department may by notice in writing require the applicant to provide such further information as may be specified to assist in its consideration of the application.

On validation of the application, the Department will issue a Notice to the Local Authority. The Notice will invite written representation as to the content of the application.

Under Section 24(4) of the Town and Country Planning Act 1999, any person who for the purpose of procuring a particular decision on an application for a certificate:

a) knowingly or recklessly makes a statement which is false or misleading in a material particular;

b) with intent to deceive, use a document which is false or misleading in a material particular;

c) with intent to deceive, withholds any material information; is guilty of an offence and may be liable:

a) on summary conviction to custody for a term not exceeding 6 months or to a fine not exceeding £10000, or both;

b) on convictions on information to custody for a term not exceeding 2 years, or to a fine, or both.

Please note that the Department retains powers under Section 24(5) of the 1999 Act, Section 5 of the Regulations, to revoke a certificate.

• 1 MAR 2023

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]

LAW20.2