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Isle of Man Government, Department of Environment, Food & Agriculture Bucks Road, Douglas, IM1 3PN T: 01624 685950 E: [email protected] Ref: DSFX1609086834391 1 / 6 The Town and Country Planning Act 1999 The Town and Country Planning (Development Procedure) Order 2019 Application for Planning Approval Site Address Street Address * Pine Lodge, Baldhoon Road Laxey Town/City * Isle of Man Postcode * IM4 7NA Local Authority District Local Authority District * Garff (Laxey, Lonan, Maughold) Type of Application Please state the type of application: * (Choose one as appropriate) Full approval for operational development (e.g. involving building or engineering works) Applicant Address Is the applicant's address the same as the site address? * Yes

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Ref: DSFX1609086834391 2 / 6 Applicant Details Please provide the Applicant's Name and/or the applying Company Name. Name Title First name(s) Surname Company name Street address * Pine Lodge, Baldhoon Road Laxey Town/City* Isle of Man Postcode* IM4 7NA Telephone number * Mobile number Email * Applicants Interest Is the applicant the owner of the site? * Yes Agent Details Are you an agent acting on behalf of the applicant?* No Redacted Redacted Redacted Redacted Redacted Redacted

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Ref: DSFX1609086834391 3 / 6 Description of the Proposed Development Please state clearly what you propose to do * Proposed Lower Ground Floor Alterations to form new Bedrooms and Bathroom with Garden terrace and access at Ground Floor Level Please state the existing use of the site (e.g. residential, office, retail etc) * Private Dwelling Please state the proposed use of the site * Private Dwelling Is the Development within a Conservation Area * No Description of the Proposed Development Does the proposed development create additional industrial, residential, retail or office floor space * No Description of the Proposed Development Is the application exempt from a fee under the current fees order? * No Proposed Works to a Registered Building Does the proposed development include any works to a Registered Building?* No Pedestrian and Vehicle Access, Roads and Rights of Way (this includes footpaths) Please note: If you answer Yes to any of the questions below, please ensure the site plan demonstrates the access created and that any visibility splays are clearly defined and to scale. Would the proposed development involve the creation of, or alteration to, a vehicular or pedestrian access to any public highway (this includes footpaths)? * No Have you consulted the Highway Services? * No Please confirm the existing number of parking spaces within the site Please confirm the proposed number of parking spaces within the site

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Ref: DSFX1609086834391 4 / 6 Site Levels Please note: If you answer Yes to this question please provide a drawing to clearly demonstrate the change in site levels, including spot levels and/or site sections. Does your proposal involve a change in site levels? * No New or Amended Services Please specify whether the proposal will result in new or amended services: Does the proposal require new or amended Gas, Electricity, Water or Telecommunication services? * No Drainage and Foul Sewage Please note: If a septic tank/Biodisc system is being proposed, please provide evidence of its location on the site plan and ensure that its placement is acceptable under the appropriate Building Regulations. See guidance notes on our website here. How will rainwater run off from roofs and paved surfaces, be disposed of? To Existing Surface water drainage connection How will foul sewage from the proposed development be disposed of? To Existing Foul water drainage connection Trees and Hedges Please note: If you answer Yes to either of the questions below you MUST provide additional tree related information appropriate to the proposed development as detailed in the Guidance document, 'Trees and the planning process - Part 1' available on our website here. You must also provide details of any trees which are to be 'lopped' or 'felled' as a result of the proposal. Are there any trees on or within 15m of the proposed development site with a stem diameter of 75mm or more, measured at 1.5m above ground level? * No Are there any large shrubs or hedges on the proposed development site? * No Watercourse Proximity Please note: If you answer Yes to the following question you are advised to contact the Department's Fisheries Directorate for further guidance. Is the proposed development within 9 metres of any watercourse (river, ditch or otherwise)? * No Is the development within an area of flood risk? * See guidance on our website here. No

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Ref: DSFX1609086834391 5 / 6 Pre-Application Advice Have you consulted the Department prior to making this submission? * No Building Regulations Are you making a concurrent application for Building Regulations Approval? * No Further Information Please provide details of any supporting information uploaded with your application or other details that you would like the Planning Officer to take into account. None Declaration 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 (Development Procedure) Order 2019. 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 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 the DEFA P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website here. The Data Protection Officer can be contacted on 686781 or by email at [email protected]. Statement Should this application be unsupported by adequate and clear site maps and plans outlining all the works proposed, the Department retains the right to reject acceptance and return the application. Note: No works may be commenced until such time as: a) on your 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. ✓ To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate Full Name * Capacity If signing on behalf of a company, please clearly state your relationship. Date * 27/12/2020 Redacted

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Ref: DSFX1609086834391 6 / 6 Fee On submission of this form we shall validate your application and send a confirmation email to you (the applicant). This email will contain a link to our payment site for any payment(s) required to support your application. Failure to pay the correct amount (if applicable) will result in a delay, refer to the relevant fee table(s) for clarification. Where fee(s) are exempt please enter £0. See Relevant 'Fees Order' on our website here. Confirm the Application for Planning Approval fee payable. 310 Email confirmation On submission an email confirmation will be sent using the details below Forename Surname /Company Name * Email* Telephone Redacted Redacted Redacted Redacted