$Date:: 2014-02-10 #$ $Revision: 5975 $
Application for a Lawful Development Certificate for a Proposed use or development.
Town and Country Planning Act 1990: Section 192, 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, pleases give name and addresses of anyone you know who has an interest in the land:
Name Address
Nature of
interest
in the land
Have they been
informed of the
application?
Yes No
if they have not been informed of the
application 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. Grounds For Application
Information About The Existing Use(s)
Please explain why you consider the existing or last use of the land
is lawful, or why you consider that any existing buildings, which it
is proposed to alter, or extend are lawful
Please list the supporting documentary evidence (such as a
planning permission) which accompanies this application:
1.
2.
3.
4.
5.
If you consider the existing, or last use is within a 'Use Class' in the
Town and Country Planning (Use Classes) Order 1987 (as
amended), state which one:
Information About The Proposed Use(s)
If you consider the proposed use is within a 'Use Class' in the Town
and Country Planning (Use Classes) Order 1987 (as amended), state
which one:
Is the proposed operation or use:
Temporary Permanent
If temporary please give details:
Please state why you consider that a Lawful Development
Certificate should be granted for this proposal:
8. Description Of Proposal
Does the proposal consist of, or include:
a) The carrying out of building or other operations?
Yes No
If Yes to a, please give detailed description of all such operations (includes the need to describe any proposal to alter or create a new
access, layout any new street, construct any associated hard-standings, means of enclosure or means of draining the land/buildings) and
indicate on your plans (in the case of a proposed building the plan should indicate the precise siting and exact dimensions):
b) Change of use of the land or building(s)?
Yes No
If Yes to b, please give a full description of the scale and nature of the proposed use, including the processes to be carried out, any
machinery to be installed and the hours the proposed use will be carried out:
If Yes to b, please describe fully the existing or the last known use, with the date this use ceased:
Has the proposal been started?
Yes No
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9. 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:
10. 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.
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 been issued as a
result of such false or misleading information.
Or signed - AgentSigned - Applicant
Date (DD/MM/YYYY):
(date cannot be pre-application submission)
11. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
12. Agent Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
13. 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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