10. Application For Tree Works - Checklist
11. Declaration - Trees
12. Applicant Contact Details
Only one copy of the application form and additional information (Question 8) is required. Please use the guidance and this checklist to
make sure that this form has been completed correctly and that all relevant information is submitted. Please note that failure to supply
precise and detailed information may result in your application being rejected or delayed. You do not need to ll out this section, but it may
help you to submit a valid form.
• A sketch plan (to scale) showing the location of all trees. (see Question 8)
For all trees (see Question 7)
• Clear identication of the trees concerned.
• A full and clear specication of the works to be carried out.
For works to trees protected by a TPO (see Question 7)
• stated reasons for the proposed works?
• provided evidence in support of the stated reasons? In particular:
if your reasons relate to the condition of the tree(s) - written evidence
from an appropriate expert.
if you are alleging subsidence damage - a report by an appropriate
engineer or surveyor and one from an arboriculturist.
in respect of other structural damage - written technical evidence.
• included all other information listed in Question 8?
I/we hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional
information. I/we conrm that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the
genuine opinions of the person(s) giving them.
Signed - Applicant: Or signed - Agent:
(This date must not be before the date of
sending or hand-delivery of the form)
Electronic communication - If you submit this form by fax or e-mail the Council may communicate with you in the same manner. (Please see guidance notes)
Lisburn & Castlereagh City Council
Lagan Valley Island
Tel: 028 9250 9250
9. Council Employee / Elected Member
With respect to the Council, I am:
(a) a member of staff (b) an elected member (c) related to a member of staff (d) related to an elected member
Do any of these statements apply to you?
If Yes, please provide details of the name, relationship and role
Area code: Telephone number:
Mobile number (optional):
Email address (optional):