PART B – AFFECTED PERSON(S) (continued)
I have authority to sign on behalf of all the other: (tick one)
OWNER(S) OCCUPIER(S)
of the property. Please provide documentation proving this authority.
Please note: the approval of all the legal owners and the occupiers of the affected property may be necessary.
PART C (to be completed by persons and/or organisations providing written approval)
PART C – DECLARATION
I/We have been given details of the proposal and plans to which I/we are giving written approval.
I/We have signed each page of the plans in respect of this proposal. These need to accompany this form.
I/We understand that by giving my/our written approval, the Council when considering the application cannot take account
of any actual or potential effects of the activity on my/our property.
Further, I/we understand that at any time before the determination of the application, I/we may give notice in writing to the
Council that this approval is withdrawn.
Note: You should only sign below if you fully understand the proposal. If you require the resource consent process to be
explained you can contact the Customer Service Team at the Council who can provide you with information.
Signature(s): Date:
Signature(s): Date:
Signature(s): Date:
PRIVACY INFORMATION
The council requires the information you have provided on this form to process your application under the RMA and to collect
statistics. The council will hold and store the information, including all associated reports and attachments, on a public register.
The details may also be made available to the public on the council’s website. These details are collected to inform the general
public and community groups about all consents which have been processed or issued through the council. If you would like to
request access to, or correction of any details, please contact the council.
