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Application for a Lawful Development Certificate for an Existing use or operation
or activity including those in breach of a planning condition.
Town and Country Planning Act 1990: Section 191 as amended by section 10 of
the Planning and Compensation Act 1991.
Town and Country Planning (Development Management Procedure) (Wales) Order 2012
You can complete and submit this form electronically via the Planning Portal by visiting www.planningportal.gov.uk/apply
Publication of applications on planning authority websites
Please note that the information provided on this application form and in supporting documents may be published on the
Authority’s website. If you require any further clarification, please contact the Authority’s planning department.
Please complete using block capitals and black ink.
It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application.
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
Company
(optional):
House
number:
House
name:
House
suffix:
Unit:
2. Agent Name and Address
Title:
House
name:
House
suffix:
House
number:
Unit:
Company
(optional):
First name:
Last name:
Address 1:
Address 2:
Town:
Address 3:
County:
Country:
Postcode:
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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. Lawful Development Certificate - Interest In Land
Please state the applicant's interest in the land:
Owner: Lessee: Occupier:
Yes
No Yes
No Yes
No
If Yes to Lessee or Occupier please give details of the owner and state whether they have been informed in writing of this application:
Name
Address
Have they been informed
in writing of the application
Yes No
If No to all the above, please give name and address of anyone you know who has an interest in the land:
Name Address
State the nature
of their interest
(if known)
State whether they
have been informed
about this application
Yes No
If No, please
explain why not
6. Authority Employee / Member
With respect to the Authority, I am:
a) a member of staff c) related to a member of staff
b) an elected member d) related to an elected member
Yes No
If Yes, please provide details of the name, relationship and role
Do any of these statements apply to you?
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7. Description of Use, Building Works or Activity
If Yes to either 'an existing use' or 'an existing use in breach of a
condition', please state which one of the Use Classes of the Town
and Country Planning (Use Classes) Order 1987 (as amended) the
use relates to:
Please state for which of these you need a lawful development
certificate/building works (you must tick at least one option):
An existing use:
Existing building works:
An existing use, building work or
activity in breach of a condition:
Being a use, building works or activity which is still going on at the
date of this application
Yes No
Yes No
Yes No
8. Description of Existing Use, Building Works or Activity
What is the existing site use(s) for which the certificate of
lawfulness is being sought? Please fully describe each use and
state which part of the land the use relates to:
9. Grounds For Application For A Lawful Development Certificate
Please state under what grounds is the certificate sought (you must tick at least one box):
The use began more than 10 years before the date of this application.
The use, building works or activity in breach of condition began more than 10 years before the date of this application.
The use began within the last 10 years, as a result of a change of use not requiring planning permission, and there has not been a
change of use requiring planning permission in the last 10 years.
The building works (for instance, building or engineering works) were substantially completed more than four years before the date
of this application.
The use as a single dwelling house began more than four years before the date of this application.
Other - please specify (this might include claims that the change of use or building work was not development, or that it benefited
from planning permission granted under the Act or by the General Permitted Development Order).
If the certificate is sought on 'Other' grounds please give details:
If applicable, please give the reference number of any existing planning permission, lawful development certificate or enforcement
notice affecting the application site. Include its date and the number of any condition being breached:
Date (DD/MM/YYYY):
(must be pre application submission)
Please state why a Lawful Development Certificate should be granted:
Condition
Number:
Reference
Number:
When was the use or activity begun, or the
building works substantially completed:
(date must be pre-application submission)
(DD/MM/YYYY)
10. Information In Support Of A Lawful Development Certificate
In the case of an existing use or activity in breach of conditions has there been any interruption?
Yes No
If Yes, please provide details of the dates, duration and any discontinuance of the development which is the subject of this application. If
your application is based on the claim that a use or activity has been ongoing for a period of years, please state exactly when any
interruption occurred:
In the case of an existing use of land, has there been any material change
of use of the land since the start of the use for which a certificate is sought?
Yes No
If Yes please provide details?
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10. Information In Support Of A Lawful Development Certificate (Continued) - Residential Information
Does the application for a Certificate relate to a residential use where the number of residential units has changed?
If Yes, please complete the following table:
Yes No
TOTAL NET GAIN or LOSS of RESIDENTIAL UNITS (Proposed Housing Grand Total - Existing Housing Grand Total):
Number of Bedrooms Total
1 2 3 4+ Unknown
Market
Housing
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Market Housing Total (a + b + c + d + e + f + g) = A
Social Rented
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Social Rented Housing Total (a + b + c + d + e + f + g) = B
Intermediate
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Intermediate Housing Total (a + b + c + d + e + f + g) = C
Key Worker
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Key Worker Housing Total (a + b + c + d + e + f + g) = D
Proposed Housing Grand Total (A + B + C + D) =
Proposed Housing
Number of Bedrooms Total
1 2 3 4+ Unknown
Market
Housing
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Market Housing Total (a + b + c + d + e + f + g) = E
Social Rented
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Social Rented Housing Total (a + b + c + d + e + f + g) = F
Intermediate
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Intermediate Housing Total (a + b + c + d + e + f + g) = G
Key Worker
Housing
1 2 3 4+ Unknown
Houses a
Flats & Maisonettes b
Live-Work Units c
Cluster Flats d
Sheltered Housing e
Bedsit/Studios f
Unknown g
Key Worker Housing Total (a + b + c + d + e + f + g) = H
Existing Housing Grand Total (E + F + G + H) =
Existing Housing
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11. Planning Application Requirements - Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all
information required will result in your application being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted.
The burden or proof in a Lawful Development Certificate is firmly with the applicant and therefore sufficient and precise information
should be provided.
The original and 3 copies of a
completed dated application form:
The original and 3 copies of such evidence
verifying the information included in
the application as you can provide:
The correct fee:
The original and 3 copies of a plan which identifies the
land to which the application relates drawn to an
identified scale and showing the direction of North:
12. Declaration
I/we hereby apply for planning permission as described in this form and the accompanying plans/drawings and additional information. I
confirm that, to the best of my knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the
persons giving them.
Or signed - AgentSigned - Applicant
Date (DD/MM/YYYY):
(date cannot be pre-application submission)
WARNING:
The amended section 194 of the 1990 Act provides that it is an offence to furnish false or misleading information or to withhold material
information with intent to deceive. Section 193(7) enables the authority to revoke, at any time, a certificate they may have issued as a
result of such false or misleading information.
13. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
14. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
15. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land?
No
Yes
If the planning authority needs to make an appointment to carry
out a site visit, whom should they contact? (Please select only one)
Other (if different from the
agent/applicant's details)
ApplicantAgent
If Other has been selected, please provide:
Contact name: Telephone number:
Email address:
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