$Date:: 2014-02-10 #$ $Revision: 5975 $
Application for approval of reserved matters following outline approval.
Article 21, 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:
$Date:: 2014-02-10 #$ $Revision: 5975 $
5. Development Description
Please indicate which reserved matter(s) you require to be determined under this application:
Access Appearance Landscaping Layout Scale
Please provide a description of the approved development as shown on the decision letter, including the application reference number
and date of decision:
Reference number: Date of decision:
(date must be pre-application
submission) (DD/MM/YYYY)
Please provide a description of the reserved matters for which you are seeking consent:
Has the development already started?
Yes No
If Yes, please state when the development was started (DD/MM/YYYY):
(date must be pre-application
submission)
Has the work been completed?
Yes No
If Yes, please state when the development was completed (DD/MM/YYYY):
(date must be pre-application
submission)
Have you consulted your neighbours or
the local community about the proposal?
Yes No
If Yes, please provide details:
6. Neighbour and Community Consultation
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?
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:
7. 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
Yes No
If Yes, please provide details of the name, relationship and role
Do any of these
statements apply to you?
$Date:: 2014-02-10 #$ $Revision: 5975 $
8. Supporting Information
Please provide the following information:
List of all relevant drawings, including reference numbers, that were approved as part
of the original decision:
Drawing Reference Number
Reasons for any changes to the original drawings (if applicable):
List of drawing numbers submitted with
this application for approval:
Drawing Number
$Date:: 2014-02-10 #$ $Revision: 5975 $
The original and 3 copies of a completed and dated
application form:
The original and 3 copies of the plan which identifies
the land to which the application relates drawn to an
identified scale and showing the direction of North:
The original and 3 copies of other plans and drawings or
information necessary to describe the subject of the application:
The correct fee:
The original and 3 copies of a design and access statement,
if required (see help text and guidance notes for details):
The original and 3 copies of the completed, dated
Ownership Certificate (A, B, C, or D - as applicable):
The original and 3 copies of the completed, dated
Article 11 Certificate (Agricultural Holdings):
Depending on the type and scale of proposed development, your application – in order to be validated - may also need to be
accompanied by the following technical documents:
- Flood Consequences Assessment
- Biodiversity and Geological Conservation Assessment
- Tree Survey
- Coal Mining Risk Assessment
- Rural Enterprise Dwelling Appraisal
- Retail Impact Assessment
- Noise Assessment
- Transport Assessment
The guidance note available on the Planning Portal website (see “Local level requirements and additional documentation”) and Welsh
Government Circular 002/2012 will assist you in determining whether any of these assessments are necessary.
You should also note that your Local Planning Authority may have adopted ‘Local Validation Requirements’ for some major developments.
Information on any “Local Validation Requirements” will be available on the Local Planning Authority’s website.
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.
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:
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.
Or signed - Agent:Signed - Applicant:
Date (DD/MM/YYYY):
(date cannot be pre-application)
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome