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Please complete in BLOCK CAPITALS and in black ink. 00015086673
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.
a) Full name of applicant
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 E-Mail Address
a) Full name of Agent
b) Address of Agent
Telephone number
Agent E-Mail Address
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.
Site of hoarding or advertisement.
BETTRIDGE NOTORS MINES ROAD FOXOALE 1MH 3EX.
Applicant's interest in the site. (e.g. owner, tenant, potential purchaser)
OWNER
Site owner details. Please ensure that the following information corresponds with the details included in the compulsory certificate of ownership (A certificate O2 will be issued to you for completion and return to the Department on validation of this application). 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.
Local Authority District.
N/A
N/A
N/A
N/A
N/A
Have you received pre-application advice from a Planning Officer?
If yes, please state the Officer's name and the date of their response.
Yes ☑ No ☐
Date
☑ ☑ ☐
Putting the Customer First
ADV1.9(i)
PROPOSED BRECTION OF 3 SIGNS ON THE REPLACEMENT WERKSTOP AND CAR DISPLAY SHOWROOM SEE ORG FOR FULL DETAILS AND COLOURS (BM/17/2)
PERMANENT
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 The Town and Country Planning (Control of Advertisements) Regulations 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 the DEFA or other Government Departments, boards or offices for the purposes of statutory functions. We will only keep your 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 the DEFA processes your personal information are contained in our P&BC Privacy Notice
The Data Protection Officer can be contacted on 686781 or by email at [email protected].
Statement - I hereby enclose four copies of:
In accordance with Regulation 9(1)(b), 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.
A certificate of ownership (cert 02) will be issued for completion with the acknowledgment to this application.
Signature of Applicant or Agent
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 1624 685950 Fax: +44 1624 686443 Email: [email protected]
ADV1.9(i)

Town and Country Planning Act 1999 Town and Country Planning (Control of Advertisements) Regulations 2013
Certificate of Land Ownership ADVERTISEMENTS 1801298
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)
BETTRIDGE MOTORS MINES ROAD FOXDALE ISLE OF MAN IM4 3EX
I CERTIFY THAT
[the applicant is] the sole owner and occupier of the site and the subject of the application dated
04/12/2018 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
Date
04-12-18
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 O2(i)
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