Fillable building work Application for exemption of In accordance (Tararua District Council New Zealand)

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building work Application for exemption of In accordance (Tararua District Council New Zealand)

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The building work Application for exemption of In accordance (Tararua District Council New Zealand) form is 2 pages long and contains:

  • 1 signature
  • 1 check-box
  • 44 other fields

Country of origin: NEW-ZEALAND
File type: PDF

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Application for exemption of
building work
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.
A processing fee of $190 will be invoiced upon receiving this application.
The Council will notify you in writing of the decision based on this application within 10 working days.
tararua district council
•
26 gordon street
•
po box 115
•
dannevirke 4942
•
06 374 4080
•
info@tararuadc.govt.nz
Application for Exemption of Building Work | Version: 1 | Issued: 12 November 2020 | Page 1 of 2
In accordance with Schedule 1 (2), Building Act 2004
Property details (Please print in CAPITALS)
Street/Rapid number Street/Road name
Legal description: Lot number Section
DP Block
Valuation number
/
•
Owner details (Please print in CAPITALS)
Title: Mr Mrs Miss Ms
Name of owner
Postal address
Town Postcode
0
-
0
-
Landline phone number Mobile phone number
Email
Office use only
Date received
/ /
NAR
•
page 2 of 2 | application for exemption of building work | version: 1 | issued: 12 november 2020
Applicant details (Please print in CAPITALS)
Title: Mr Mrs Miss Ms
Name of applicant
Postal address
Town Postcode
0
-
0
-
Landline phone number Mobile phone number
Email
Reason for exemption
Write a detailed explanation of why you consider that your building work is exempt from requiring a building consent.
(Refer Building Act 2004, Schedule 1 (2))
Attachments
Attach plans and specications of your building work.
Signature
/ /
2 0
Signature of applicant Date
click to sign
signature
click to edit
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building work Application for exemption of In accordance (Tararua District Council New Zealand)

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Completed 11 February 2021

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