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10/84574 August 2010
Application for section 223/section 224 certification of subdivision
1 Application details
Consent holder’s name
Council subdivision reference
RC
P
SD
Address for service
Phone no
Fax no
Email
Address for invoicing
Certification required
223
224
224(f)
241
other (specify)
Is electronic plan/certifications provided via LandonLine
Yes
No
Note
if lodging your application via email, please send it to mailroom@wdc.govt.nz
2 Condition(s) of consent requirements
As a registered professional surveyor, I confirm
1
I hereby attach all information required to satisfy Whangarei District Council that all conditions specified
in the subdivision consent referenced above (in terms of certification required) have been met
2
I accept that where it is found that not all information required under clause 1 above is provided, this
application shall be returned to the address for service re-lodgement
3
Where an engineering or similar professionally prepared plan and supporting information
(such as
landscaping or ecological plan)
has to be approved by council, I have attached written evidence of such
approval
4
Where evidence of completion and approval of all physical works is required
(e.g. construction of services,
landscape planting)
I have attached written evidence of such approval
5
Where an application has been made via LandonLine, the required electronic certification documents
have been prepared and sent to council for consideration and approval
Signature
Date
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