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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.
Guidance notes are available on request.
| | For office use only | | --- | --- | | Date: | 9-11-99 | | Receipt number: | 923392 |
Dhoor House, The Dhoor, Andreas Road, Ramsey, IM7 4ED.
Lezayre
a) Full approval for operational development (e.g. involving building or engineering works)
b) Change of use of land or buildings not involving operational development.
c) Approval in principle - please specify below any matters are to be determined now:
d) Approval of reserved matters relating to a previous approval in principle. Please provide the reference number of the approval in principle application
| Applications under c) or d) | Ref. No. | | --- | --- | | Please circle any matters to be determined by this application | | | Siting | Internal layout (inside buildings) | | Drainage | Design | | External appearance | |
Please ensure that details of the matters selected above are provided.
e) Variation of a condition. Please specify the condition number and the reference number of the relevant planning application and indicate if the proposal is for a condition variation or removal.
Ref. No.
Mr P. & Mrs C. Clucas
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
Telephone number
Applicant's e-mail address
| Dhoor House, The Dhoor, Andreas Road, Ramsey, | | | --- | --- | | Postcode | IM7 4ED | | Home | Work | | Work | |
Putting the Customer First
PA Form 2.1(i)
Telephone number Agent's e-mail address
Kay Associates Ltd Southgate House, 89 Circular Road, Douglas, Isle of Man Postcode IM1 1AX 674440 [email protected]
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. Agent Applicant 6. Applicant's interest in the site (e.g. owner, tenant, potential purchaser)
Owner 7. Relevant Fee Enclosed (where required) Please note the application will remain invalid until the application fee is paid in full. Cheques should be made payable to IOM Government. If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres This area should be used to where the fee calculus requires it. Where the application is exempt from a fee under the current fees order, please state the registered charity number. 8. Description of the proposed development. Please state clearly what you propose to do.
Alterations to dwelling at Dhoor House, The Dhoor, Andreas Road, Ramsey. To provide additional Master Bedroom space.
b) Works proposed to a Registered Building. If yes, please quote the RB number and complete an application for Registered Building Consent to accompany this form (form RBAP). Yes No ☑
Have you consulted with Highway Services? Please confirm the number of parking spaces within the site. existing 4+ proposed 4+ PA Form 2.1(i)
Yes \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No
The Data Protection Officer can be contacted on 686781 or by email at [email protected]. 22. Statement - I hereby enclose four copies of the following:
A copy of this application will be forwarded to the Local Authority in which the site is situated and, where not an application relating to windows, the Network Planning Officer, DOI Highway Services.
To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate.
Signature of Applicant or Agent
If signing on behalf of a company, please clearly state your \square relationship.
07 / 11 / 2019
Should this application be unsupported by adequate and clear site maps and plans outlining all the works proposed, the Department retains the right to reject acceptance and return the application.
Note: no works may be commenced until such time as: a) on your receipt of the planning Decision Notice the time period for requesting an appeal has expired and no such appeal has been requested, or b) any Appeal has been completed.
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]
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.
I certify that the accompanying application is made by or on behalf of the owner of the land, namely:
Mr P. & Mrs C. Clucas
(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
| Name & Address | | Name & Address | | | --- | --- | --- | --- | | | | | | | Interest | | Interest | | | Date notified | | Date notified | | | Signature Applicant/Agent | | | Date | | | | | | | | | | | | | | | | | Planning and Building Control Directorate, 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] | | | | | | | | | | | | | | | Putting the Customer First | | | | | | | | | | Certificate 01(i) | | | |
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