Fillable FORM 8B: AFFECTED PERSONS APPROVAL APPLICANTS NAME AND/OR (Queenstown Lakes District Council New Zealand)

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FORM 8B: AFFECTED PERSONS APPROVAL APPLICANTS NAME AND/OR (Queenstown Lakes District Council New Zealand)

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Country of origin: NEW-ZEALAND
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APPLICANT’S NAME AND/OR RM #
AFFECTED PERSON’S DETAILS
WHAT INFORMATION/PLANS HAVE YOU SIGHTED
DETAILS OF PROPOSAL
I/We
Are the owners of
I/We hereby give written approval for the proposal, subject to a deemed permitted boundary activity application to:
at the following property:
I/We understand the proposal and understand that the consent authority will permit the applicant to undertake
the activity (provided they have supplied the correct information, including all other written approvals required).
I/We have sighted and initialled ALL plans dated
and approve them.
I/We understand that I/we may not withdraw written approval.
Page 1/2 // October 2017
Resource Management Act 1991 Section 87BA
AFFECTED PERSON’S
APPROVAL
FOR DEEMED PERMITTED BOUNDARY ACTIVITY
FORM 8B
APPROVAL OF AFFECTED PERSONS
A
B
C
D
Name (PRINT)
Contact Phone / Email address
Signature Date
Name (PRINT)
Contact Phone / Email address
Signature Date
Name (PRINT)
Contact Phone / Email address
Signature Date
Name (PRINT)
Contact Phone / Email address
Signature Date
The written consent of all owners who are aected. If the site that is aected is jointly owned, the written consent of all
co-owners (names detailed on the title for the site) are required.
Note to person signing written approval
You should only sign this form if you fully understand the proposal. You should seek expert or legal advice if you need the
proposal or deemed permitted boundary activity process explained to you.
Conditional written approvals cannot be accepted, and written approvals cannot be withdrawn once provided.
There is no obligation to sign this form, and no reasons need to be given.
If you do not sign this form, resource consent may be required for the activity and you may have the opportunity to submit
on the application.
If signing on behalf of a trust or company, please provide additional written evidence that you have signing authority.
Queenstown Lakes District Council
Private Bag 50072, Queenstown 9348
Gorge Road, Queenstown 9300
P: 03 441 0499
E: resourceconsent@qldc.govt.nz
www.qldc.govt.nz
Page 2/2 // October 2017
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FORM 8B: AFFECTED PERSONS APPROVAL APPLICANTS NAME ANDOR (Queenstown Lakes District Council New Zealand)

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Completed 10 November 2020

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