$Date:: 2012-07-17 #$ $Revision: 4636 $
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. Proposed Demolition Works
Please describe the building(s) to be demolished:
Please state why demolition needs to take place:
Please describe the proposed method of demolition:
Please provide details of the proposed restoration of the site:
Are there any public rights of way within the site or immediately adjoining the site?
Yes No
Is redevelopment or rebuilding proposed at a later date?
Yes No
Does the proposal involve the felling or pruning of any tree(s)?
Yes No
If Yes, please show details on a plan and provide the reference number of the plan(s):
1. 4.
2. 5.
3. 6.
Please describe how and where spoil/rubble would be disposed:
Please state the expected date of completion of works (DD/MM/YYYY):
Please state the expected date of commencement of works (DD/MM/YYYY):
DATE MUST BE POST SUBMISSION
DATE MUST BE POST SUBMISSION
