Version 2018.1
25. Declaration
I/we hereby apply for planning permission/consent 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.
(date cannot be
pre-application)
Date (DD/MM/YYYY):Or signed - Agent:Signed - Applicant:
The correct fee:
The original and 3 copies of the completed, dated
Ownership Certificate and Agricultural land
declaration:
The original and 3 copies of other plans and drawings or
information necessary to describe the subject of the application:
The original and 3 copies of the plan which identifies
the land to which the application relates drawn to an
identified scale and showing the direction of North:
The original and 3 copies of a completed and dated
application form:
24. Planning Application Requirements - Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all
information required will result in your application being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted.
26. Applicant Contact Details
Telephone numbers
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
27. Agent Contact Details
Telephone numbers
Country code: National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address (optional):
29. Site Visit
Can the site be seen from a public road, public footpath, bridleway or other public land?
No
Yes
If the planning authority needs to make an appointment to carry
out a site visit, whom should they contact? (Please select only one)
Other (if different from the
agent/applicant's details)
ApplicantAgent
If Other has been selected, please provide:
Contact name: Telephone number:
Email address:
If Yes, please provide details of their name, role and how you are related to them.
NoYes
With respect to the authority, I am:
(a) a member of staff
(b) an elected member
(c) related to a member of staff
(d) related to an elected member
Do any of the following statements apply to you and/or agent?
28. Authority Employee / Member
It is an important principle of decisions-making that the process is open and transparent. For the purposes of this question, "related to"
means related, by birth or otherwise, closely enough that a fair-minded and informed observer, having considered the facts, would
conclude that there was bias on the part of the decision-maker in the local planning authority.