© Stratford District Council 2005 D10/7416 RC-02 Version 1 Resource Consent Application Page 1 of 2
THE LOCATION
THE APPLICANT
Rapid No:
Street/Road:
Contact Perso
n:
(Contact persons name if company, trust or similar).
Street Address:
Postal Address:
Phone:
Email:
THE AGENT
Name of Agent:
(Only required if application is being made on behalf of the owner)
Contact Person:
Postal Address:
Street Address/Registered Office:
Phone:
OWNER / OCCUPIER (If different from applicant)
OWNER: OCCUPIER:
Full Name: ……………………………………………….
(Contact persons name (if company, trust or similar).
Contact Person: ……………………………………………
Postal Address: ……………………………………………
……………………………………………………………...
Full Name: ……………………………………………….
(Contact persons name (if company, trust or similar).
Contact Person: ……………………………………………
Postal Address: ……………………………………………
……………………………………………………………...
Please tick the appropriate box for type of Resource Consent you wish to apply for:
Signa
ture
of o
wner/agent o
n
beh
alf of and with the
authority of the owner
Signature Date
Signature Date
Do you wish to receive a copy of the draft planners report to consider the conditions that are to be imposed on your consent? YES /
NO
NOTE: If you request this your consent will be put on hold in accordance with Section 37 of RMA 1991 whilst the conditions are finalised.
APPLICATION FOR RESOURCE CONSENT
(Under Section 88 of the Resource Management Act 1991)
Who is first point of contact for invoicing:
Agent
Owner
Payee name for invoice:
Street No:
Legal Description:
Current Use:
Mobile:
Relationship to Owner:
Mobile:
Email:
Land Use Consent Subdivision Consent
© Stratford District Council 2005 D10/7416 RC-02 Version 1 Resource Consent Application Page 2 of 2
THE PROJECT
Full description of Proposed Work ..................................................................................................................................................
............................................................................................................................................................................................
...............
............................................................................................................................................................................................
...............
………………………………
……………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………..
ATTACHMENTS
YES NO
1
I attach an assessment of any effects that the proposed activity may have on the environment in accordance
with the Fourth Schedule of the RMA 1991. (In the case of a controlled activity, such an assessment is not
required unless otherwise specified in the Stratford District Plan) N.B a full description of the effects of the
proposed is required.
2
I attach other information (if any), required to be included in the application by the District or Regional Plan or
Regulations.
3
(Where the application is for a subdivision consent) I attach information in accordance with Section 219 of the
Act sufficient to adequately define:
(i) The position of
all new boundaries
(ii) The
area of all new allotments.
(iii) The location and areas of new reserves to be created, including any esplanade reserves to be set aside on a
survey plan under Section 230 of the RMA 1991.
(iv) The location and areas of land below mean high water springs of the sea or of any part of the bed of a
river or lake which is to be vested in the Crown under Section 235 of RMA 1991.
(v) The loca
tion and areas of land to be set aside as new road
4
Written consent of Affected Persons (where required for a Resource Consent)
5
Certificate of Title/Computer Freehold Register attached.
NOTES
NOTES:
The payment of a deposit may be required to be paid with the application, in accordance with the Stratford District Council Fees &
Charges. In terms of Section 36 of the resource Management Act 1991, further charges will be imposed for processing the application
and consideration by the Council. The decision will not be released until all fees are paid. This application will be checked for adequate
information before acceptance. If information provided is inadequate, the application will not be processed and will be returned.
All Enquiries
to:
Planner
Stratford District Council
Email: applications@stratford.govt.nz
Telephone: (06) 765 6099
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