Doc# 437345 Page 1 of 1 PS-121
Application for extension of time
Version: 4
Date: January 2020
Code: PS-121
Se
nd or deliver your application to: Web: www.timaru.govt.nz
Building Services, Timaru District Council, Telephone: (03) 687 7236
2 King George Place, PO Box 522, Timaru 7940 Email: building@timdc.govt.nz
A. THE BUILDING CONSENT
Building consent number:
B. THE OWNER
Name of owner:
Address:
Daytime / mobile number:
C. THE CONTACT PERSON (only required if different from owner)
Name:
Address:
Daytime / mobile number:
D. THE REASON
Reason for extension of time (state details of why the extension of time is required):
Signed by the owner OR on behalf of;
with authority from the owner:
Signature:
Name:
Date:
Relationship to owner:
On acceptance of your extension of time Timaru Distric
t Council will send you a confirmation letter which will list conditions of the
approved extension of time along with an invoice for Council charges.
For use of Timaru District Council:
Comments:
Approved:
Declined:
Signature:
Position:
Fee (payable on application): Receipt no:
Date paid: Date applicant advised:
Application no:
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