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Please complete in BLOCK CAPITALS and in black ink.
For office use only
Date:
EASTFIELD MANSION HOUSE EASTFIELD, DOUGLAS, 15LE OF MAN 1M14AU
MR & MRS. D. MURRAY
Address of applicant
75 MAIN ROAD, ONCHAN, 15LE OF MAN
Postcode 1M31AJ
Telephone number
Home Work 687769
Applicant's e-mail address
Applicant's interest in the site (e.g. owner, tenant, potential purchaser) If DEFA (or could be deemed to have) an interest in the application or site, please state what this is in your answer.
OWNER
OCHRE BUILDING DESIGN
Address of Agent
THE PUMP HOUSE, COTON HILL, SHREWSBURY SHROPSHIRE Postcode SY1 2DP
Please note correspondence may be more expeditious preferred and via email
Agent's e-mail address
Telephone number
07902 343989
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.
Agent
Applicant
Please Note: If this box is not completed all correspondence will be directed to the Agent.
JEE DRAWINGS NUMBERED 682/PL/102 Site 103 Plans. 104 Elevations
N/A
Putting the Customer First
RBAP20.2
If yes, please state the Officer's name and the date of the consultation.
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 1999 and subordinate Town and Country Planning (Registered Buildings) Regulations 2013 as amended.
Your personal information will be held by the DEFA for the purposes of processing this application and may be used to ensure compliance with the provisions of the Town & Country Planning Act 1999 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 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 processes your personal information are contained in our privacy P&BC Privacy Notice.
The Department's Data Protection Officer can be contacted on 686781 or by email at [email protected]
I hereby apply for Registered Building Consent to carry out the alterations and/or extensions to the building described by the address in Section 1, as shown on the enclosed plans and in accordance with the enclosed drawings.
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
02/03/2020
If signing on behalf of a company, please clearly state your relationship.
DIRECTOR
Should this application be unsupported by adequate and clear site maps and plans outlining all the works.
Where the Department directs under the Registered Building Regulations 2013 7(3) that further particulars or other matters are furnished and the applicant fails to comply with that direction and within such time as is given (not being less than 21 days) this application may be treated as withdrawn.
Note: no works may be commenced until such time as -
a) After issue of any 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]
RBAP20.2
Table 1
| Location in the Building. <br> e.g. numbered indicator on a floor <br> plan, i.e. Area 1 on Floor Plan. | Feature or element of the building <br> fabric to be affected. <br> e.g. front entrance door, staircase. | How will this feature or element be <br> affected by the proposals. <br> e.g. inappropriate glazing replaced by <br> stained glass. | | --- | --- | --- | | N/A | N/A | N/A | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(Attach a continuation if necessary) RBAP20.2
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