AF LIM Page 1 of 2
Last Updated: 11/09/2019
Revision: 4
AF LIM Application for Land Information
Memorandum
Local Government Official Information and Meeting Act Section 44A
1 APPLICANT
Applicant Name:
C/O (if applicable)
Email Address:
Phone Number:
Applicant Address:
Post code:
2 OWNER OF PROPERTY
Owner Name:
3 LAND LOCATION
Street Address of Property:
Suburb and Town:
4 LEGAL DESCRIPTION
Valuation Number:
Certificate of Title Identifier:
Lot/Section and DP:
Lot Area (square meters/hectares):
Vacant Land:
Yes
No
Swimming/Spa Pool:
Yes
No
5 TYPE OF LIM REQUIRED TICK ONE
STANDARD Residential $230.00 10 DAYS
STANDARD Commercial $350.00 10 DAYS
*Please note ‘Days’ means working days (not inclusive of weekends or Public Holidays).
6 CHARGES
All payments are to Queenstown Lakes District Council. Please attach relevant payment confirmation details.
Direct credit payments are be made to BNZ account: 02-0948-0002000-000
Particulars: “LIM” Code: “Payee Name” Reference: “Property Address”
Amount paid: $
Direct Credit
Credit card
QLDC Reception
Cheque/Mail
7 SIGNED BY OR ON BEHALF OF THE APPLICANT
Name: Date:
Signature:
Handwritten or Digital
Please email applications to: liminformation@qldc.govt.nz
NOTE: AN UP-TO-DATE COPY OF THE CERTIFICATE OF TITLE AND TITLE PLAN DATED WITHIN THE
LAST 3 MONTHS MUST BE INCLUDED WITH YOUR
APPLICATION.
click to sign
signature
click to edit
AF LIM Page 2 of 2
Last Updated: 11/09/2019
Revision: 4
AF LIM Application for Land Information
Memorandum
MATTERS THAT WILL BE INCLUDED IN THE LAND INFORMATION MEMORANDUM
Information identifying any special features or characteristics of the land concerned,
including information on potential land instability and likely flooding, or the likely presence of
hazardous contaminants, that is known to the authority but is not apparent from the district scheme
or plan;
Inf
ormation on private and public storm water and sewage drains as shown in the territorial
authority records;
Inf
ormation relating to any rates owning on the land;
Inf
ormation concerning
any consent, certificate, notice, order or requisition affecting the land or
any building on the land;
Information concerning any certificate issued by a building certifier under the Building Act 1991;
Inf
ormation relating to the use to which that land may be put and condition attached to that use;
Inf
ormation given to the authority by any statutory organisation with the power to classify land or
building for any purpose; and
Any
information which has been notified to the territorial authority by any network utility
operator under the Building Act.
The LIM being a
pplied for may include information concerning the land which the Council considers,
at its discretion, to be relevant pursuant to section 44A(3) of the Local Government Official
Information and Meetings Act 1987. By signing this form, you acknowledge that the council gives no
assurance as to the accuracy or comprehensiveness of any information included pursuant to section
44A(3) and that it accepts no responsibility or liability for any reliance placed on it.
PLEASE NO
TE:
Processing will commence only once we have received a completed
application form with certificate of title, title plan, and fees have been
received in full to Queenstown Lakes District Council. Applications
received after 3:30pm are processed as received the following day.
The Statutory requirement for issuing Land Information
Memorandum reports is 10 working days.
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