Version 2018.1
Notification for Prior Approval for a Proposed Change of Use of a building
from Office Use (Class B1(a)) to a Dwellinghouse (Class C3)
1. Developer Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
House
name:
Unit:
Company
(optional):
House
suffix:
House
number:
2. Agent Name and Address
Title: First name:
Last name:
House
name:
Unit:
Company
(optional):
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
House
suffix:
House
number:
Town and Country Planning (General Permitted Development) Order 2015 Schedule 2, Part 3, Class O
*Development is not permitted where the building is a Listed Building (or is within the curtilage of a listed building); or the site is (or
contains) a Scheduled Monument; or is (or forms part of) a safety hazard area or military explosives storage area.
This form should be saved to your device and then completed using the free Adobe Acrobat Reader
application or full version of Adobe Acrobat. Many internet browsers and other applications can
display PDF files, but we cannot guarantee their compatibility in regard to these forms. We
specifically advise users of Apple devices not to use 'Preview' because of known issues.
Development consisting of a change of use of a building and any land within its curtilage to a use falling within Class C3 (Dwellinghouses)
from a use falling within Class B1(a) (Offices) of Use Classes Order*
If printed, please complete using block capitals and black ink.
Find contact details for Local Planning Authorities:
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.
Information provided on this form and in supporting documents may be published on the authority's planning register and
website.
Publication on Local Planning Authority websites
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.
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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.
https://www.planningportal.co.uk/lpasearch
Version 2018.1
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 our accredited
suppliers:
All sections of this notification completed in full, dated
and signed (typed signature if sent electronically).
5. 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 could result in your notification being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted. Please note that as part of this procedure, if any objections are received the Local
Planning Authority may require submission of further information at a later date.
(www.planningportal.co.uk/buyaplan)
Please describe the proposed development, including relevant information covering transport and highways impacts of the
development; contamination risks on the site; and flooding risks on the site.
4. Description of the Proposed Development
What was the use of the building on 29th May 2013 or the last use before that date?
If the building was not in use on 29th May 2013, when was it last in use?
Date (DD/MM/YYYY)
The correct fee
Unit: Building number:
Building name:
Address 1:
Address 2:
Address 3:
Address 4:
Postcode:
Building suffix:
Please provide the full postal address of the application site.
3. Site Address Details
Buy a planning map
Version 2018.1
6. Declaration
I/we hereby apply for prior approval as described in this notification 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)
Signed - Developer:
Or signed - Agent: Date (DD/MM/YYYY):
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Country code:
National number:
Extension
number:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Telephone numbers
8. Agent Contact Details
Telephone numbers
7. Developer Contact Details
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