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Please complete in BLOCK CAPITALS and in black ink.
The person here below named as the applicant is responsible for the appropriate fee.
All relevant questions on this form must be answered.
| For office use only | | | --- | --- | | Date: 4/3/21 | | | Recent number: 94348 | | | 1/10 | |
A plan must accompany this application to identify the land.
The site should be outlined in red.
Telephone number
Applicant E-Mail Address
| N/A | | | --- | --- | | |
Telephone number
Agent E-Mail Address
| Yes | No | | --- | --- | | ☐ | ☐ |
If yes, please state the date the use started.
| Yes | No | | --- | --- | | ☐ | ☐ |
And name the use class applicable now.
| Yes | No | | --- | --- | | ☐ | ☐ |
If yes, please state the current or last known use of the land.
| Yes | No | | --- | --- | | ☐ | ☐ |
And the name of any use class applicable to the proposed use.
| Yes | No | | --- | --- | | ☐ | ☐ |
c) To make lawful operations which have been carried out in, on, over or under the land?
| Yes | No | | --- | --- | | ☐ | ☐ |
If yes, please state the date the operations started, or, in the case of operations carried out without planning approval, the date on which they were substantially completed.
| Yes | No | | --- | --- | | ☐ | ☐ |
d) To make lawful operations proposed to be carried out in, on, over or under the land?
| Yes | No | | --- | --- | | ☐ | ☐ |
e) To make lawful a failure to comply with any condition subject to which planning approval was granted?
| Yes | No | | --- | --- | | ☐ | ☐ |
If yes, please state the date on which the matter constituting the failure occurred and quote the planning application number, or sufficient detail in order for it to be identified.
Continue overleaf
| Yes | ☑ | No | | --- | --- | --- | | | | |
The Department of Environment, Food & Agriculture (DEFA) is a controller for the purposes of the Data Protection Act 2018 and related legislation and requires the information supplied by this application in the public interest to comply with obligations under the Town and Country Planning Act 1999 and its subordinate Orders and Regulations.
Your personal information will be held by DEFA for the purposes of processing this application and to ensure compliance with the provisions of the Town & Country Planning Act 1999.
All applications made under these obligations are available online with most personal contact detail redacted. Any hard copy, where we hold it, will retain all detail.
Your application will be published via our viewing platforms may be required by statute. It will also be shared with the Local Authority.
Details under these applications are retained indefinitely in order to maintain the application register as required under the Town and Country Planning Act 1999. Contact detail will be removed 7 years after a decision becomes final.
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.
If you would like further information on how your personal information is processed and your rights please contact the Department's Data Protection Officer on 686781 or by email at [email protected]
I/We the named applicant(s) hereby apply for a certificate of lawfulness, in respect of the matters set out above and in accordance with the information submitted herewith.
To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate.
I herewith enclose:
| Signature of Applicant or Agent | | Date | 03.03.2025 | | --- | --- | --- | --- | | | | | |
It is requested that three copies of this application form and all supporting statements and plans are forwarded to the address below.
The Department may by notice in writing require the applicant to provide such further information as may be specified to assist in its consideration of the application.
On validation of the application, the Department will issue a Notice to the Local Authority. The Notice will invite written representation as to the content of the application.
Under Section 24(4) of the Town and Country Planning Act 1999, any person who for the purpose of procuring a particular decision on an application for a certificate:
a) knowingly or recklessly makes a statement which is false or misleading in a material particular;
b) with intent to deceive, use a document which is false or misleading in a material particular;
c) with intent to deceive, withholds any material information; is guilty of an offence and may be liable:
a) on summary conviction to custody for a term not exceeding 6 months or to a fine not exceeding £10000, or both;
b) on convictions on information to custody for a term not exceeding 2 years, or to a fine, or both.
Please note that the Department retains powers under Section 24(5) of the 1999 Act, Section 5 of the Regulations, to revoke a certificate.
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]
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