Version ECAB 2019
Application to determine if prior approval is required for a proposed:
Change of Use from Shops (Class A1), Financial and Professional Services
(Class A2), Betting Offices or Pay Day Loan Shops (Sui Generis Uses) to
Assembly and Leisure (Class D2)
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
Building
name:
Unit:
Company
(optional):
Suffix:Number:
2. Agent Name and Address
Title: First name:
Last name:
Building
name:
Unit:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
Suffix:Number:
Company
(optional):
Town and Country Planning (General Permitted Development) (England) Order 2015 (as amended) - Schedule 2, Part 3, Class J
This form is specifically designed to be printed and completed offline.
Please complete this form in block capitals using black ink to facilitate scanning.
Publication on Local Planning Authority websites
Information provided on this form and in supporting documents may be published on the authority's planning register and website.
Please ensure that the information you submit is accurate and correct and does not include personal or sensitive information.
If you require any further clarification, please contact the Local Planning Authority directly.
Upon receipt of this form and any supporting information, it is the responsibility of the Local Planning Authority to inform you of its
obligations in regards to the processing of your application. Please refer to its website for further information on any legal, regulatory and
commercial requirements relating to information security and data protection of the information you have provided.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it.
Any subsequent use of this form is solely at your discretion, including the choice to complete and submit it to a Local Planning Authority in
agreement with the declaration section.
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting
information to a Local Planning Authority in accordance with the legislation detailed on this form.
Local Planning Authority details:
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You are advised to read the accompanying guidance notes and per-question help text.
If you would rather make this application online, you can do so on our website:
https://www.planningportal.co.uk/apply
Version ECAB 2019
Unit: Number: Suffix:
Building name:
Address 1:
Address 2:
Address 3:
Address 4:
Postcode:
Please provide the full postal address of the application site.
3. Site Address Details
Was the use of the building on 5 December 2013 (or the last use before that date) one of the following:
- Class A1 (Shops) or Class A2 (Financial and Professional services); or
- a betting office or pay day loan shop.
NoYes
Is any part of the land, site or building:
- in a conservation area;
- in an area of outstanding natural beauty;
- in an area specified by the Secretary of State for the purposes of enhancement and protection of the natural beauty and amenity of the
countryside;
- in the Broads;
- in a National Park;
- in a World Heritage Site;
- in a site of special scientific interest;
- in a safety hazard area;
- in a military explosives storage area;
- a scheduled monument (or the site contains one);
- a listed building (or within the curtilage of a listed building).
NoYes
If you have answered yes above, the proposal will exceed the limits set by legislation. In this circumstance, you should not continue with
this application and seek advice from the Local Planning Authority on the best course of action.
4. Eligibility
If you have answered yes above, the proposal will exceed the limits set by legislation. In this circumstance, you should not continue with
this application and seek advice from the Local Planning Authority on the best course of action.
NoYes
Will the total combined floor space in the building (previously and in this proposal) changed to Class D2 (Assembly and Leisure) exceed
200 square metres?
If not, what date was it brought into use solely for one of the following uses:
- Class A1 (Shops) or Class A2 (Financial and Professional services); or
- a betting office or pay day loan shop.
(DD/MM/YYYY)
To be eligible for this permitted development right, the building must have been used as detailed above:
- on 5 December 2013 (or the last use before that date); or
- if brought into use after 5 December 2013, for a period of at least 5 years prior to development commencing.
If this will not be the case, you should not continue with this application and seek advice from the Local Planning Authority on the best
course of action.
NoYes
Has the use, as detailed above, been continuous since the date stated; and will that use continue until the proposed development
commences?
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Version ECAB 2019
5. Description of Proposed Works, Impacts and Risks
Please provide details of any noise impacts and how these will be mitigated:
Please describe the proposed development:
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Version ECAB 2019
5. Description of Proposed Works, Impacts and Risks (continued)
Please provide details of any transport and highways impacts and how these will be mitigated:
Where the building is located in a key shopping area, please provide details of any undesirable impact on the sustainability of that
shopping area:
Please provide details of the impact on the adequate provision of services, based on the loss of the building's current use.
For example:
- Would there be a reasonable prospect of the building being used under it's current use class going forward?
- Would a unique shop, service or food provision be lost from the area if the use is changed?
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Version ECAB 2019
5. Description of Proposed Works, Impacts and Risks (continued)
Please either state the proposed hours of opening; or tick the box below to confirm they are unknown at this time
Hours of opening unknown
Monday to Friday
Start time (24h clock, HHMM)
End time (24h clock, HHMM)
Saturday
Start time (24h clock, HHMM)
End time (24h clock, HHMM)
Sunday and Bank Holiday
Start time (24h clock, HHMM)
End time (24h clock, HHMM)
Please provide details of any impacts based on the hours of opening and how these will be mitigated:
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Version ECAB 2019
6. Checklist
Please read the following checklist to make sure you provide all the required information in support of your proposal.
The information provided should include all the details necessary for the Local Planning Authority to determine if the proposal complies
with permitted development legislation, and if its prior approval will be required.
If sufficient information is not provided the Local Authority can either request it, or refuse the application.
A plan indicating the site and showing the proposed development.
A plan drawn to an identified scale will assist the authority in assessing
your development proposal. Plans can be bought from one of the
Planning Portal's accredited suppliers:
https://www.planningportal.co.uk/buyaplanningmap
All sections of this application completed in full, dated
and signed.
The correct fee
7. Declaration
(date cannot be
pre-application)
Signed - Applicant: Or signed - Agent: Date (DD/MM/YYYY):
I/we hereby apply for a determination as to whether prior approval will be required 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.
Country code:
National number: Extension:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Country code:
National number:
Extension:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Telephone numbers
9. Agent Contact Details
Telephone numbers
8. Applicant Contact Details
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