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APPLICATION TO MODIFY OR DISCHARGE A
SECTION 106 PLANNING OBLIGATION
Please complete and return to:
Development Management, Dover District Council, White Cliffs Business
Park, Dover, CT16 3PJ
1 TYPE OF APPLICATION
Are you applying to modify a planning obligation?
Are you applying to discharge a planning obligation?
2 APPLICANT NAME AND ADDRESS 3 AGENT NAME AND ADDRESS
Title First Name
Last name
Address
Postcode
Title First Name
Last name
Address
Postcode
4 FULL ADDRESS OF THE SITE TO WHICH THE OBLIGATION RELATES
5 NATURE OF THE APPLICANT'S INTEREST IN THE LAND
6 REASON(S) FOR APPLYING TO MODIFY/DISCHARGE OBLIGATION
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7 NOTIFICATION TO INTERESTED PARTIES please complete one certificate only
Certificate A
I certify that on the day 21 days before the date of this application the planning obligation to
which the application relates was enforceable against nobody other than the applicant.
Signed …………………………….....................................
*On behalf of ……………………………………………….. Date …………………………….
OR
Certificate B
I certify that the applicant has given notice to everyone else against whom, on the day 21
days before the date of this accompanying application, the planning obligation to which the
application relates was enforceable, as listed below.
Person on whom Address at which Date on which
notice was served notice was served notice served
Signed …………………………….....................................
*On behalf of ……………………………………………….. Date …………………………….
*Delete as appropriate
OR
Certificate C
I certify that:
the applicant cannot issue a Certificate A or B in respect of this application;
*the applicant has given notice to the persons listed below, being persons against whom,
on the day 21 days before the date of the application, the planning obligation to which
the application relates was enforceable.
Person on whom Address at which Date on which
notice was served notice was served notice served
Signed …………………………….....................................
*On behalf of ……………………………………………….. Date …………………………….
The applicant has taken reasonable steps to ascertain the name and address of every
person against whom, on the day 21 days before the date of the application, the planning
obligation to which the application relates was enforceable and who has not been given
notice of the application but has been unable to do. These steps were as follows (a)
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Notice of the application, as attached to this certificate, has been published in the (b) On
(c).
Signed …………………………….....................................
*On behalf of ……………………………………………….. Date …………………………….
(a) Being the steps taken (b) The name of the publication (c) The date of publication
8 APPLICANT CONTACT DETAILS 9 AGENT CONTACT DETAILS
Telephone
Mobile
Fax
Email
Telephone
Mobile
Fax
Email