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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.
5 MICHAEL ST PÉEL 1MS 1HA STILL 2019
2. Local Authority District.
2. Local Authority District.
For office use only
Date:
Receipt number:
5 MICHAEL ST PÉEL 1MS 1HA STILL 2019
2. Local Authority
Please state the type of application (choosing one box as appropriate):
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) Please circle any matters to be determined by this application
Siting: Internal layout (inside buildings)
Drainage: Design
External appearance: Design
Total: 2
Please ensure that details of the matters selected above are provided.
Ref. No.
Ref. No.
Ref. No.
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.
a) Full name of applicant
MALLOM JEFFREY WELLS
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
5 MICHAEL ST PÉEL
1MS 1HA
Postcode
Telephone number
Home: 07624 497022
Work: 843737
Applicant's e-mail address
Celtic goose 10M • Com
Putting the Customer First
PA Form 2.1(i)
Telephone number Agent's e-mail address \square 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.
If yes, please include details of any demolition involved on a separate sheet. 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 \square No \square 13. Please specify below whether the proposal requires new or amended services: a) Gas Yes \square b) Electricity Yes \square c) Water Yes \square d) Telecommunications Yes \square No \square
The applicant should consult the service providers separately in order to establish the location of existing services and the impact of the proposed works on existing services. See guidance notes. 14. a) How will rainwater run-off from roofs and paved surfaces be disposed of? b) How will foul sewage from the proposed development be disposed of? \square No \square c) If a septic tank/Biodisc system is proposed, please provide details demonstrating that the septic tank/Biodisc would be acceptable under Building Regulations - See guidance notes. 15. a) Are there any trees on or within 15 m of the proposed development site with a stem diameter of 75 mm or more, measured at 1.5 m above ground level? b) Are there any large shrubs or hedges on the proposed development site? \square No \square
If you answered Yes to either of the above, then your application will need to include a level of tree related information appropriate to the proposed development, which in some circumstances (e.g. change of use) may mean that no additional information is required. Please refer to the guidance document, 'Trees and the planning process - Part 1' for further guidance. You must provide details of any trees which are to be 'lopped' or 'felled' as a result of the proposal. 16. Is the proposed development within 9 metres of any watercourse (river, ditch or otherwise)? If so, you are advised to contact the Department's Fisheries Directorate for further guidance in respect of this application. 17. Are the activities Retrospective or a result of an Enforcement Enquiry? If as a result of an enforcement enquiry please quote reference and the date that the building work or use was started/completed. \square No \square
Enf No. \square \square Started \square Completed \square 18. Have you received pre-application advice from a Planning Officer? If yes, please state the Officer's name and the date of their response.
If yes, please state the Officer's name and the date of their response.
In any assessment of this application please be aware that the Case Officer may undertake to visit the site to ensure 1) the site notice has been correctly placed/erected, 2) check the application content against the proposed work / site levels 3) speak to neighbours, if they feel it relevant, and 4) Take photographs where necessary.
Are you making a concurrent application for Building Regulations Approval?
Please provide details of any supporting information or other details that you would like the Planning Officer to take into account. Please note that you may use a separate sheet to complete this section.
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 1991 and subordinate Town and Country Planning (Development Procedure) Order 2013.
Your personal information will be held by 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 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 DEFA P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website.
The Data Protection Officer can be contacted on 686781 or by email at [email protected].
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.
PLEASE ALSO ENCLOSE one copy of - A Certificate of Land Ownership (Certificate 01), and - An Application Check List (Form PL.7) - A schedule of drawings/plans. If applicant owns or controls any additional land within the vicinity of the application, please indicate the additional land in blue on the site plan.
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 relationship.
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 1624 685950 Fax: +44 1624 686443 Email: [email protected]
PA Form 2.1(i)
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:
MALCOLM JEFERY WELLS
(Full names in CAPITAL letters)
who is:
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:
The persons upon whom notice was issued are:
| Name & Address | Name & Address | | --- | --- | | | | | Interest | Interest | | Date notified | Date notified |
Signature Applicant/Agent
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]
23rd July 2019
Pictorial of Land Owners 2019
Certified 2019
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