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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: | | | Receipt number: | | | 030115061252. | |
Manx National Heritage Please include all first names and surname or full details where an applicant is 'trading as' or a limited company. b) Address of applicant
Manx Museum, Kingswood Grove Douglas Postcode IM1 3LY Telephone number Home 648000 Work Applicant E-Mail Address 2. a) Full name of Agent
Ellis Brown Architects b) Address of Agent
12 Strathallan Crescent Douglas Postcode IM2 4NR Telephone number 621375 Agent E-Mail Address [email protected] c) If using an Agent, please indicate if the Agent is to be issued with the Acknowledgement letter and undertake the responsibility for affixing the site at the development site.
Please Note: If this box is not completed all correspondence will be directed to the Agent. 3. Site of hoarding or advertisement.
Manx National Heritage IMuseum, Kingswood Grove, Douglas 4. Applicant's interest in the site. (e.g. owner, tenant, potential purchaser)
Owner Please ensure that the following information (question 5) corresponds with the details included in the accompanying and compulsory certificate of ownership (certificate 02). 5. Name and Address of: a) The site owner, if different from the applicant. Please state all names, including first names in full b) The name of occupier or tenant of the site if different from above.
Postcode
Douglas 7. Description of the proposed development. INCLUDE content (text and graphics), size, construction and whether illuminated. If so, ALL details must be provided Existing wall mounted signage to be removed and relocated to be freestanding at new position as shown on drawing 18/2705/02 8. Is the hoarding/advertisement intended to be permanent or of a more temporary nature? If temporary please state duration.
Drawings of the proposed hoardings or advertisement (drawn to metric scale) giving sufficient dimensions to show its size construction and site together with:
ALSO ENCLOSED is a Certificate of Land Ownership (Certificate 02 - one copy) In accordance with Regulation 11(2)(c), should further information be requested and the Applicant fails to comply with that direction after a minimum period of 21 day, the application shall be deemed withdrawn.
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
Dated 01 / 10 / 2018
If signing on behalf of a company, please clearly state 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 refuse acceptance and return the application. Note: no works may be commenced until such time as - a) On 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]

Town and Country Planning Act 1999 Town and Country Planning (Control of Advertisements) Regulations 2013 Certificate of Land Ownership ADVERTISEMENTS
This certificate is required under Regulation 10(3)(b) and 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.
Where the applicant is the Land owner they must return a completed certificate to accompany any application under the Control of Advertisements Regulations. Where the applicant is not the land owner they must await receipt of a planning site notice which they must then forward to the land owner. The applicant may then submit this certificate to validate their application.
Application for Express Consent to a display of advertisement at
(description and location of site)
Manx National Heritage I Museum, Kingswood Grove, Douglas
I CERTIFY THAT
[ ] [the applicant is] the sole owner and occupier of the site and the subject of the application dated
01/10/18 relating to the above advertisement
[I have] [The applicant has] given a copy of the Notice sent to [me] [the applicant] by the Department to every person who is an owner or occupier of any part of the site the subject of the application dated
[ ] relating to the above proposal, as listed below:
Please delete as appropriate
Owner/ Occupiers Name
Interest
Signed
Signed on behalf of
Address at which Notice was served
Interest
Signed
Date
01/10/18
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 02(i)
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