$Date:: 2015-04-02 #$ $Revision: 6152 $
3. Site Address Details
Please provide the full postal address of the application site.
House
name:
House
suffix:
House
number:
Unit:
Address 1:
Address 2:
Town:
Address 3:
County:
Postcode
(optional):
Easting: Northing:
Description of location or a grid reference.
(must be completed if postcode is not known):
Description:
4. Pre-application Advice
Has assistance or prior advice been sought from the local
authority about this application?
NoYes
If Yes, please complete the following information about the advice
you were given. (This will help the authority to deal with this
application more efficiently).
Please tick if the full contact details are not
known, and then complete as much as possible:
Officer name:
Reference:
Date (DD/MM/YYYY):
(must be pre-application submission)
Details of pre-application advice received?
5. Development Description
Please indicate which reserved matter(s) you require to be determined under this application:
Access Appearance Landscaping Layout Scale
Please provide a description of the approved development as shown on the decision letter:
Reference number: Date of decision:
(date must be pre-application
submission) (DD/MM/YYYY)
Please provide a description of the reserved matters for which you are seeking consent. Please state if the outline planning application
was an environment impact assessment application and, if so, confirm that an environmental statement was submitted to the planning
authority at that time.
Has the development already started?
Yes No
If Yes, please state when the development was started (DD/MM/YYYY):
(date must be pre-application
submission)
Has the work been completed?
Yes No
If Yes, please state when the development was completed (DD/MM/YYYY):
(date must be pre-application
submission)
6. Authority Employee / Member
With respect to the Authority, I am:
(a) a member of staff
(b) an elected member
(c) related to a member of staff
(d) related to an elected member
Do any of these statements apply to you?
Yes No
If Yes, please provide details of the name, relationship and role