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Please complete in BLOCK CAPITALS and in black ink.
The person here below named as the applicant is responsible for payment of the appropriate fee.
All relevant questions on this form must be answered.
| For office use only | | | --- | --- | | Date: 01-03-18 | | | Receipt number: 902473 | |
b) Address of Applicant
Telephone number
Applicant E-Mail Address
Site Address. A plan must accompany this application to identify the land. The land should be outlined in red.
b) Address of Agent
Telephone number
Agent E-Mail Address
a) To make lawful the existing use of the buildings or land?
If yes, please state the date the use started.
And name the use class applicable now.
b) To make lawful a proposed use of the buildings or land?
If yes, please state the current or last know use of the land.
And the name of any use class applicable to the proposed use.
| Yes | No | | --- | --- | | 001-001 | | | RESIDENTIAL | | | Yes | No |
Continue overleaf
Form LAW1.4(i)
If yes, please state the date the operations started, or, in the case of operations carried out without planning approval, the date on which they were substantially completed. d) To make lawful operations proposed to be carried out in, on, over or under the land? e) To make lawful a failure to comply with any condition subject to which planning approval was granted?
If yes, please state the date on which the matter constituting the failure occurred and quote the planning application number, or sufficient detail in order for it to be identified. 7. Please provide reasons, if any, for regarding the use, operations or other matter described in this application as lawful. And state such other information that you consider relevant to this application.
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.
Signature of Applicant or Agent
I herewith enclose:
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.
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 and any such person as noted in answer to section 4 of this form. The Notice will invite written representation as to the content of the application. If necessary the Department will advertise this application by way of the weekly planning publication list.
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.
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]
1800208
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:
MRS CHRISTINE GALE CUBINEY
(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:
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