Fillable Written approval of affected persons (Tararua District Council New Zealand)

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Written approval of affected persons (Tararua District Council New Zealand)

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Written approval of affected persons
Please read this first
This form will be scanned by electronic equipment. It is important that you:
• use a blue or black pen to complete this form; and
• print clearly.
Please note, in most instances the Council will require the approval of the legal owners and the occupiers of the affected
property.
tararua district council
•
26 gordon street
•
po box 115
•
dannevirke 4942
•
06 374 4080
•
info@tararuadc.govt.nz
Applicant details (Please print in CAPITALS)
Title: Mr Mrs Miss Ms
First names
Surname
Address of proposed activity
Brief description of proposed activity
Affected persons (Please print in CAPITALS)
Full name of affected person(s)
Address of affected property
I am/we are the Owner(s) Occupier(s)
You should only sign below if you support or have NO OPPOSITION to approval of the application for resource consent you have
been asked to consider.
1
. I/Wehavebeengivendetailsofthefullandnalproposalincludingacopyoftheapplicationform,assessmentofthe
environmentaleffectsandplans,andplanstowhichI/wearegivingapproval.
2. I/We agree that we have signed the resource consent appliation and each page of the plans shown to us in respect of this
application.
3
. I/Weunderstandthatbygivingmy/ourwrittenapproval,theCouncilcannottakeaccountofanyactualorpotentialeffectsof
the activity on my/our property when considering the application. The fact that any such effects may occur shall not be relevant
groundsuponwhichtheCouncilmayrefusetograntitsconsenttotheapplication.
4. Further,I/weunderstandthatatanytimebeforethedeterminationoftheapplicationI/wemaygivenoticeinwritingtothe
Councilthatthisapprovaliswithdrawn,underSection104(4) of the Resource Management Act 1991.
I have authority to sign on behalf of all the other owner/occupier(s) of the property.
/ /
2 0
Signature of affected person(s) Date
Section 94 Resource Management Act 1991
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Written approval of affected persons (Tararua District Council New Zealand)

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Completed 29 July 2020

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