PROPOSED DEVELOPMENT / Take Notice that an application for Planning Permission is being made to Stafford Borough Council
AT
[Address or location to which the development relates]
BY [Name of applicant]
FOR [Description of the proposed development]
Any owner of the land or tenant who wishes to make representations about this application, should write to the Head of Planning and
Engineering Services at the Civic Centre, Riverside, Stafford, ST16 3AQ by the date 21 days from the date given below.
SIGNED DATE
NAME
[print] ON BEHALF OF
4 NOTICE 1 To be detached / copied and served on each owner, or published in the local press where individuals cannot be identified
1] I / the applicant cannot issue a Certificate A or B in respect of the attached application.
2] I / the applicant have / has given the requisite notice to the persons specified below being persons who on the day of the 21 days
before the date of the application, were owners of any part of the land to which the application relates.
OWNERS NAME DATE NOTICE WAS SERVED
ADDRESS AT WHICH NOTICE WAS SERVED
3] I / the applicant has taken all reasonable steps open to find out the names and addresses of the other owners of the land, or part of
it, and have / has been unable to do so. These steps were as follows:
DESCRIPTION OF STEPS TAKEN
4] Notice of the application, as attached to this Certificate [Notice No. 1] has been published in the:
Name of Newspaper circulating in the area where the land is situated Date of publication [which must be not earlier than the day
21 days before the date of the application / appeal]
SIGNED DATE
1] I / the applicant(s) cannot issue a Certificate A in respect of the accompanying application.
2] I / the applicant(s) have / has taken the reasonable steps to find out the names and addresses of everyone else who, on the day 21 days
before the date of the application was the owner of any part of the land to which the application relates, but have / has been unable
to do so. These steps were as follows:
DESCRIPTION OF STEPS TAKEN
3] Notice of the application, as attached to this Certificate [Notice No. 1] has been published in the:
Name of Newspaper circulating in the area where the land is situated Date of publication [which must be not earlier than the day
21 days before the date of the application / appeal]
SIGNED DATE
6 CERTIFICATE D I Certify that: Please strike through / / the unused.
5 CERTIFICATE C I Certify that: Please strike through / / the unused.
PLANNING APPLICATION ONLY OWNERSHIP CERTIFICATES AND NOTICES
REVISION DATE - August 2004
