APPLICATION FOR A LAND
INFORMATION MEMORANDUM
Applicant Details
Oce Use Only
Name
Postal Address
Home Phone
Cell Phone
Email/Fax
Application No.
Date Received
Time
Company Applicant
Site Description
Reply
Company Name
Postal Address
Phone
Client Reference
Email/Fax
Street Address
Legal Description
Valuation Number
Land Area
Current Owner
To ensure your LIM reects 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 Certicate of Title.
Do you require a reply by
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APPLICATION FOR A LAND
INFORMATION MEMORANDUM
Payment
This application must be accompanied by an application fee before processing can begin.
Please tick the appropriate box below:
Masterton District Council
Standard $250.00 (incl GST) - To be processed within 10 Working Days
Masterton District Council – URGENT
$350.00 (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
Contact Details
Please tick the methods of payment used:
Cash Eftpos Cheque Direct Credit
Masterton District Council
161 Queen Street
PO Box 444
MASTERTON 5840
Tel: 06 370 6300
Fax: 06 378 8400
Web: www.mstn.govt.nz
E: planningadmin@mstn.govt.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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