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10/77217 December 2010
Reviewing Decisions on Discount given under the Resource
Management Regulations 2010
(Discount on Administration Charges)
To
Whangarei District Council
Application no
Full name
Address to which application relates
Address for service (if different to application address)
Invoice no
Was discount given Yes No
Amount of discount given ($)
Which part of the discount calculation do you think is incorrect
Why do you think the calculation is incorrect (please include relevant dates & attach relevant additional information)
I hereby certify that, to the best of my knowledge and belief, the information given is true and correct.
Signature of applicant
(or person authorised to sign on their behalf)
Date