Application Form Deemed Permitted Marginal or Temporary Activity 4
Council recovers all actual and reasonable costs of processing your application. Most applications require
a deposit and costs above this deposit will be recovered. A current fees schedule is available on
www.goredc.govt.nz or from Planning staff.
Please discuss your proposal with us if you require any further help with preparing your application.
The Council does provide pre-application meetings without charge to assist in understanding the issues
associated with your proposal and completing your application. This service is there to help you.
Please note that we are able to provide you with planning information but we cannot prepare the application
for you. You may need to discuss your application with an expert such as a planning consultant, surveyor or
lawyer, if you need further advice.
Gore District Council Planning Services staff can be contacted as follows:
In Writing: Gore District Council, PO Box 8, Gore 9740
In Person: Gore District Council, 29 Bowler Avenue, Gore,
but please phone ﬁrst to make an appointment.
By Phone: (03) 209 0330
By Email: email@example.com
There is also information on our website at www.goredc.govt.nz
Completed and Signed Application Form
Description of Activity and Assessment of Effects
Site Plan, Floor Plan and Elevations (where relevant)
Historic Copy of Certiﬁcate of Title (less than 3 months old) including any relevant restrictions
(such as consent notices, covenants, encumbrances, building line restrictions)
Written Approval forms and plans signed and dated by Affected Persons
Application Fee (cash, cheque, Internet banking or EFTPOS only; no Credit Cards accepted)
Bank account details for refunds
In addition, subdivision applications also need the following information
Number of existing lots Number of proposed lots
Total area of subdivision The position of all new boundaries
Cash (do not post)
EFTPOS (at Gore District Council)
Cheques payable to: Gore District Council
Post cheques to: Gore District Council
PO Box 8, Gore 9740
Internet Banking Payments: Gore District Council
Account Number: 03-0915-0289519-00
Particulars: Please use your Name
Reference: Please use your Address
In order to ensure your application is not rejected or delayed through requests for further information,
please make sure you have included all of the necessary information.