Fillable Application for a non-material amendment following a grant (Isle of Anglesey County Council)

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Application for a non-material amendment following a grant (Isle of Anglesey County Council)

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$Date:: 2014-08-14 #$ $Revision: 6085 $
Application for a non-material amendment following a grant of planning permission.
Town and Country Planning Act 1990
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:
$Date:: 2014-08-14 #$ $Revision: 6085 $
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 of advice (DD/MM/YYYY):
Details of pre-application advice received:
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:
5. Eligibility
No
Yes
Do you, or the person on whose behalf you are making this application,
have an interest in the part of the land to which this amendment relates?
If you have answered No to this question, you cannot apply to make a non-material amendment.
6. Authority Employee / Member
With respect to the Authority, I am:
(a) a member of staff
(b) an elected member
(c) related to a member of staff
(d) related to an elected member
If yes please provide details of the name, relationship and role
NoYes
Do any of these statements apply to you?
$Date:: 2014-08-14 #$ $Revision: 6085 $
For the purpose of calculating fees, which of the following best describes the original application type?
Householder development: development to an existing dwelling-house or development within its curtilage
Other: anything not covered by the above category
Date of decision (DD/MM/YYYY):
Reference number:
Please provide the description of the approved development as shown on the decision letter, including application reference number
and date of decision in the sections below:
7. Description Of Your Proposal
8. Non-Material Amendment(s) Sought
Please describe the non-material amendment(s) you are seeking to make:
Please state why you wish to make this amendment:
Are you intending to substitute amended plans or drawings?
NoYes
If Yes, please complete the following:
Old plan/drawing number(s):
New plan/drawing number(s):
$Date:: 2014-08-14 #$ $Revision: 6085 $
9. 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 not being accepted. It will not be accepted until all information required by the
Local Planning Authority has been submitted.
The original and 3 copies of a completed and dated application form:
The original and 3 copies of other plans and drawings or information
necessary to describe the subject of the application:
The correct fee:
10. Declaration
I/we hereby apply for consent as described in this form and the accompanying plans/drawings and additional information. I/we confirm
that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the
person(s) giving them.
Date (DD/MM/YYYY):
Signed - Applicant:
Or signed - Agent:
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):
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):
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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Application for a non-material amendment following a grant (Isle of Anglesey County Council)

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Completed 31 July 2020

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