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I Dated I g..:>, / 04 -/20.1' I If signing on behalf of a company, please dearly state relationship. I 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. d) Building Regulations reference number (if known) No Ga No [2J __ I No 0 0 Ref. No. I Ves 0 Ves D RBNo. I Ves B Completed Started Please state the type of application (choosing one box as appropriate): Please ensure that detal1s of the matters selected above are provided. e) Variation of a condition. Please specify the reference number of the relevant planning application and indicate if the proposal is for a condition variation or removal. 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). ooD ~CE\VEO 0'11 ~ Please ensure that details of the matters selected aoove are provided. 2 ~ APR 2C~5 d) Approval of reserved matters relating to a previous approval in prindple. 0« n Pleaseprovide the reference number of the approval in principle applicatic{lE:PARTME.t-fI: ~<J--J==- _ P~~se specify below which matters are to be determined now: IV,c:-RASTR'R&:~o, I Siting [J Intemallayout [J _ Design [J Means of Access [J External Appearance [J landscaping [J c) Approval in principle - please specify below which matters are to be determined now: Siting [J Intemallayout [J Design [J Means of Access [J External Appearance [J landscaping [J b) O1ange of use of land or buildings not involving building or engineering works. a) Full approval for development involving building or engineering works. EnfNo. 1. 2. a) Development within a Conservation Area. If yes, please indude details of any demolition involved on a separate sheet. 3. Are the activities Retrospective or as 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. / / Dnchan District COmmissioners D Site Plan Locations Plan Douglas COrporation o 001 c) The date of submission. 23. Schedule of Drawings Please detail the drawings or reference number and/or date of all plans submitted in support of this application. Should any plans be missing, the application will be considered incomplete and retumed with a request for missing plans to be submitted. Please continue on a separate sheet If necessary. Planning and Building Control Department of Infrastructure Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624685950 Fax: +44 1624686443 Email: [email protected] PA Form 1.S(i) 4. If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres.
Putting the Customer
First
PA Form
1.8(i)
==== PAGE 2 ====
5.
Relevant
Fee Enclosed
(where required) Please
note
the
application
will
remain
invalid
until
the
application
fee is paid
in full.
WJere a site (y fi()(Y'qrea
has b€er> IJSedto establisi) the Ii>e please not:o the iYf!d measured in your ce!cuiatirY>.
W>&e the amiiretirY> is exemPt fran
a roe UIXief" the CfJ/1e(}trees orrJet; """'se
state
the registet-ed cI1drit'; number.
Cheq.Jes s!Jookj be fl>ddepayable to lO/>t GO""",,,,,,,,t
£1 __
1
4'&> I :+. 54-I 0«<' I
12.
Description of the proposed development. Please state dearly
Wlat,KlU ~
to do. ~
tfJe apriicatiO/J is for
a rhdnge of use please state the hw"s of use, """'"
aWWiaWapplicabie.
Consloro(.~'"~ cf
Co .vc~d.~
-Rcrr
""'"
b<o"'ror,,"J
("""'''"'''5 'i-e,,~)
Ste!""'<;,,"
of
cl""'!9'~5S ~
ge,,\0"10."""\
--
Yes0 No
Yes0 No
proposed
I
__
1
EJ
o
_I
Yes B
No 0
b)
How will foul sewage from the proposed development be disposed of?
13. local Authority District.
"The amiirent
shook! COflStJltthe service proWciers separately In on:Jer to establis!> the 1oceticY>of eJ(isting services_
the il>7lJdCtof the /YOPOS€<1""""
rY>existing services. &>e guir1dllce notes.
15. Does your proposal involve a mange in site levels?
If yes, please provide drawings showing the change in site levels (e.g. spot levels or site sections).
Please also include a method statement detailing the proposed means of importing fill and/or the
means of exporting the fill, including details of the expected quantities involved.
16. Please specify below whether the proposal requires new or amended services:
a)
Gas
Yes0 No0
cJ Water
Yes0 No EJ
bJ Electricity
Yes0 No0
dJ Telecommunications
Yes0 No D
17. a)
How will rainwater run-off from roofs and paved surfaces be disposed of?
14. Would the proposed development involve the creation of, or alteration to, a vehiOJlar
or pedestrian access to any public highway (this includes footpaths)? If yes, please
provide details.
Have you consulted with Highway SelVices?
Please confirm the number of parking spaces within the site.
existing
Agent
Applicant
[~(l(vlr••.•\ ~'''1~...,j I
ITe",,~
~1~ef sdtJ ~I
l"~~••..•.•
...,..~<',
See--
\-€.IYV'\,,"",o\
\)o';'j\c.~ "Is--\e or t'\~
Postcode
IHome
IWork
b 36 4
,;l.")
I
3:-eP--"'""" oj ~i\'1 0 3_0_"_'_'''_'
_
I I '
I--Pos-tc-od-e--
1=====--
I========~=========I
D
D
__
I
Telephone number
Agent's e-mail address
Telephone number
Applicant's e-mail address
b)
Please state the proposed use of the site.
b)
Address of applicant
Please IXJte crYtf!S/XJI'ICI
is /Jff!Ierred ary:j may be rn<Ye e>:Peditioos 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 Appllcant, who will be responsible for affixing
the Site Notice at the site.
9.
Applicant's interest in the site (e.g. owner, tenant, potential purchaser)
I Dep"n-",,,,,y
a~ l..{.u~"-M
Please indooe all first names aI1dSf.JI"T)dI'r]e
(y ftJlI details where an applicant is 'trading as' or a limited company.
7.
a)
Full name of applicant
6.
a)
Please state the existing use of the site (e.g. residential, office, retail etc.)
8.
a)
Full name of Agent
b)
Address of Agent
Please ensure
that the following
information
(question
10) corresponds
with
the details
included
on the
accompanying
and compulsory
certificate
of ownership
(certificate
01).
10. Name and Address of:
--
a)
The site owner, if different from the I
>-0()
-I
.
applicant. Please state all names,
including first names in full.
Posteode
b)
The name of occupier or tenant of I
I
the site if different from above.
--
PA Form 1.8(i)
B NOQ
o No EJ
Yes EJ
No0
Yes0 No0
I Date
I
PA Form 1.8(i)
__
Yes
If you answered Yes to either of the above, then your application will need to included an accurate survey
drawing showing the position of the trees and hedges and their canopy spread in relation to the proposed works.
You must provide details of any trees which are to be 'lopped' or 'felled' as a result of the proposal.
"The abo""
""""
fl>liSt be rftswssed wit!> the {)epi)rtrnent
of &7VilTJl>'l)efle Rxxi and AgriCfJItrre - RJtestiY,
4rner>ity Il (dJ"/dS Directorate befrye the amiiC6tirY> is su/Yni/teci.
"The Planning 4utfxy;ty
{)JiJJ! disc requi'" "'"
to stJbrnjt a 7>re Sl.i>ey.
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 guktaf1Ce noIN.
20.
Have you received
pre.application
advice
from
a Planning
Officer?
If yes, please state the Officer's
I
name and the date of their response. ~
_
19.
Are the proposed works within 8 metres of any watercourse (river, ditch or otherwise)? If
SO, iOIJ die dCMse<Jto C<Y>tdCtDI:I'4 fD'"IiJttI>er guidance
in ffW)eCt of Mis amiiceticY>.
_18. a) .Are there trees or. hedges on the proposed development site that might be
affected by the proposal?
b) Are there any trees or hedges on adjacent land that might be affected by the proposal?
Yes
NoD
Yes 0
c)
Does the applicant own or control any additional
land within the
vicinity of the application.
If yes, you must outline the additional land in blue on the site plan.
11. Siteaddressdetails(including a (X)Str:ode """'"
amiiceble'.
==== PAGE 3 ====
1)l.~nin9 ~nd byik!,"'l ''''>1'0;>
b"n.I,OQQ;O!yl.'
pl.n""r., "."",,~U"'l~aI
15 \.10447
Town and Country Planning Act 1999
Town and Country (Development
Procedure)
(No 2) Order 2013
Land Ownership Statement
Certificate 01
L7
infrastructure
This certificate provides confirmation that the owner of the land whim
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 D.Q1.proofof ownership.
The applicant is requested to complete ~
Statement A or Statement 8 and retum the completed certificate and
planning application form and any supporting documents.
NO AppLICA nON
WILL 8E PROCESSED UNTIL SUCH TIME AS THE CERTIFICA TEIS sUBMrrrEp.
1. STATEMENT A: Land owner is applicant
1certify that the accompanying application is made by or on behalf of the owner of the land, namely:
."CEIVED 0
~v
'11
(Full names in CAPITAL letters)
who is:
(a) the full*/limited*
owner of the freehold*/Ieasehold*
estate in the land (*delete as aPJlqp~PR; ~S
(b) in full possession of every part of the land to which the application relates.
'
If the application is made on behalf of the land owner, a certified copy of the power of a~ority
signed b'btre
owner
authorising the application on his behalf Is attached hereto.
ltv~PARTMEN\ n~
"'RASmUC'U~
2. STATEMENT B: Land owner is not the applicant
Name &
Address
Interest
Date
notified
the land owner (referred to in statement A of this certificate); and
to any person who at the time of the making of the application was:
(I)
a person then in actual possession
(ii)
the trustee of a trust or settlement if a benefidary
under the trust or settlement was in actual possession
and no person other than such a benefidary was entitled to enter into actual possession within a period of
40 years; and
(iii)
a person, not being a person falling within (a) or (b) (i) and (ii), entitled to enter Into actual possession
within a period of 40 years.
The persons upon whom notice was issued are
Name&
Address
I certify that appropriate written notice of the accompanying application has been given by or on behalf of the applicant
to:
(a>
(b)
Interest
Date
notified
Signature Applicant/Agent
Date
• ~
•..' •••••J> Q,
I I 2..lv ~
201 r
~~@]~
Putting the Customer
First
Certificate
01(i)
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