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A1207529
DEEMED PERMITTED BOUNDARY ACTIVITY
Written approval form
One form is required from the owner of each infringed boundary
Address all correspondence to:
Chief Executive, Whakatāne District Council, Private Bag 1002, Whakatane 3158 |Phone 07 306 0500
| Email planning@whakatane.govt.nz | Fax 07 307 0718
Address of affected property
Name of person(s) giving written approval (please provide full name(s)
Please complete one of the below as required and tick the option completed:
I am/We are the owner of the above property
I/We have the authority to sign on behalf of all the other owners of the property
This is written approval for the proposed activity that is the subject of a boundary activity application at
………………………………………………………………………………………………………………………………………………………………………………………….
(address of property where boundary activity is occurring).
I have read the description of the activity at the property, and seen and signed the site plans attached.
In signing this written approval, I confirm that I understand the proposal and understand that the consent authority will
permit the applicant to undertake the activity (provided they have supplied the correct information, including all other
written approvals required).
I understand that I may not withdraw my written approval.
* Signed
Signature of person giving written approval (or person authorised to sign on behalf of person giving written approval)
* Note: A signature is not required if you give your written approval by electronic means (note that the plans do need to be signed)
Electronic address for service of person giving written approval
Telephone
Postal address (or alternative method of service under section 352 of the Resource Management Act 1991)
Contact person
Name and designation if applicable)
Please read notes overleaf before signing this form
click to sign
signature
click to edit
2 of 2
A1207529
DEEMED PERMITTED BOUNDARY ACTIVITY
Written approval form
Note to person signing written approval
You should only sign this form if you fully understand the proposal. You should seek expert or legal
advice if you need the proposal or deemed permitted boundary activity process explained to you.
Conditional written approvals cannot be accepted, and written approvals cannot be withdrawn once
provided.
There is no obligation to sign this form, and no reasons need to be given.
If you do not sign this form, resource consent may be required for the activity and you may have the
opportunity to submit on the application.
If signing on behalf of a trust or company, please provide additional written evidence that you have
signing authority.
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