Fillable FormLIM-Application-form-Editable 19 20 0

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FormLIM-Application-form-Editable 19 20 0

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  • 13 check-boxes
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Country of origin: NEW-ZEALAND
File type: PDF

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Name
Postal Address
Home Phone
Cel l Phone
Email/Fax
Company Applicant
Company Name
Postal Address
Phone
Client Reference
Email/Fax
Site Description
To ensure your LIM reflects the correct property information, please ensure the following site description
is completed. If the legal description of the property is not known please ask for assistance with
completing the form, or supply a recent Certificate of Title.
Street Address
Legal Description
Valuation Number
Land Area
Current Owner
Reply
Do you require a reply by
Post
Email
Fax
Office Use Only
Application No.
Date Received
Time
Applicant Details
Payment
This application must be accompanied by an application fee before processing can begin.
Please tick the appropriate box below:
Masterton District Council
Standard $192.00 (incl GST) - To be processed within
10 Working Days
Ma
sterton District Council -
URGENT
$280.00 (incl GST) - To be processed within 5 Working Days.
Carterton District Council
Standard $250.00 (incl GST) - To be processed within
10 Working Days
Carterton District Council -
URGENT
$450.00 (incl GST) - To be processed within 5 Working Days.
South Wairarapa District Council
Standard $255.00 (incl GST) - To be processed within
10 Working Days
South Wairarapa District Council - URGENT
$460.00 (incl GST) - To be processed within 5 Working Days.
Payment Method
Please tick the methods of payment used:
Cash
Eftpos Cheque
Contact Details
Direct Credit
Masterton District Council
64 Chapel Street
PO Box 444
MASTERTON 5840
Tel:
06 370 6300
Fax: 06 378 8400
Web:
www.mstn.govt.nz
E:
p lanningadmin@mstn.go vt.nz
Direct Credit:
Westpac Masterton
03-0687-0271682-00
Ref: LIM Address & Surname
Carterton District Council
Holloway Street
PO Box 9
CARTERTON 5743
Tel:
06 379 4030
Fax: 06 379 7832
Web:
www.cdc.govt.nz
Email:
info@cdc.govt.nz
Direct Credit:
BNZ Carterton
02-0608-0086383-03
Ref: LIM Address & Surname
South Wairarapa District Council
19 Kitchener Street
PO Box 6
MARTINBOROUGH 5741
Tel: 06 306 9611
Fax: 06 306 9373
Web:
www.swdc.govt.nz
Email:
enquiries@swdc.govt.nz
Direct Credit:
02-
0680-0027337-
00
Particulars: Applicant Surname
Code: LIMS
Ref:
31903121
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Completed 2 July 2020

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