Application for land information
memorandum
Please read this first
This form will be scanned by electronic equipment. It is important that you:
• use a blue or black pen to mark your answers; and
• print clearly.
tararua district council • 26 gordon street • po box 115 • dannevirke 4942 • ph 06 374 4080 • fax 06 374 4137 • info@tararuadc.govt.nz
Applicant details (Please print in CAPITALS)
Name of applicant
Postal address
Town Postcode
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Home phone number Fax number Mobile phone number
Email
Site details (Please print in CAPITALS)
Site address
Legal description
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Valuation number Rate assessment number
Name of owner
Fees
Standard LIM (zoned Residential or Settlement as per District Plan) ..............................................................................$240.00
Non-standard LIM (zoned Rural, Industrial and Commercial as per District Plan) ............................................................. $350.00
Cancellation within 24 hours ............................................................................................................................ 80% refunded
Cancellation within 48 hours ............................................................................................................................ 60% refunded
Cancellation after 48 hours .................................................................................................................................... no refund
Payment is to be made at the time of application – payments can be sent by post with the application, made at any Tararua District
Council service centre, or by electronic payment. The completed report will not be released until payment has been receipted.
In accordance with the Local Government Information and Meetings Act 1987, the LIM will be issued within ten working days.
Information provided in the LIM is based on administrative research only.
Signature
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Signature of applicant Date
click to sign
signature
click to edit
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