pg f1 application for resource consent - hamilton.govt.nz · email: under the resource management...
TRANSCRIPT
1 PG F1 / April 2018
Application for Resource Consent (Form 9)
1.0 General Details
Land Use Consent Subdivision Consent Certificate ofCompliance (s139)
Controlled
The activity type is:
Qualifying Development Land Use Consent (Special Housing Area)
Qualifying Development Subdivision Consent (Special Housing Area)
Subdivision Related
3.0 Applicant Details (In principle all invoices will be sent to the applicant unless otherwise stated – see below)
Non-Complying
Not applicable
Physical Address:
Owner’s Name:
Owner’s Address:
Occupier’s Name:
Occupier’s Address:
N
ompany/Trustee Name:
Postal Address:
Postal code:
Phone (day): (mobile):
Email:
Under the Resource Management Act 1991 or the Local Government Act 1974
2 PG F1 / April 2018
4.0 Agent/Consultant Details (In principle all correspondence will be sent to the agent unless otherwise stated – see below)
5.0 Address for Correspondence and Invoices
Company/Name:
Contact Person:
Postal Address of Agent: Postal code:
Phone (business): (mobile):
Email: Fax:
Company/Name:
Postal Address:
Email:
Company/Name:
Postal Address:
Email:
3 PG F1 / April 2018
9.0 Site Visit Requirements
Land Use Consent Subdivision Consent Other Consent Authority
Details:
with Council?
Yes No
If "#$
%&
If applicant is not the landowner:
Landowner’s full name:
Landowner’s signature: Date Signed:
Person authorised to sign on behalf of Landowner:
Authorising person’s signature: Date Signed:
Yes No
Do you have a dog on the property? Yes No
Is there any hazard that may place a visitor at risk? Yes No
organic farm etc.
4 PG F1 / April 2018
12.0 Deposits
or more than minor (but not less than minor)” and who have not
If "#$
not exceed 25MB) to [email protected]
The following (1) resource consent deposit fee and (2) engineering deposit fee (where applicable); for the
Direct Credit Cash, Credit card or EFTPOS via Municipal Building Cheque
I/we understand that Council may invoice me for the actual and reasonable costs incurred in the processing
Engineering Deposit Fee: $ (where applicable)
If paying by cheque, a combined payment is acceptable.
For a list of fees and charges visit www.hamilton.govt.nz. Payment can be made by cash, EFTPOS or credit card at the Municipal Building, Garden Place or by direct credit 02-0316-0030142-006. If paying by direct credit, please quote Planning, Code: Name of Applicant, Reference:
Yes No
Yes No
Yes N/A
5 PG F1 / April 2018
14.0 Signature of Applicant for Resource Consent
I/we understand that the Council may charge me/us for all costs actually and reasonably incurred in processingthis application. Subject to my/our rights under sections 357B and 358 of the RMA or section 81 of the HASHAAto object to any costs, I/we undertake to pay all and future processing costs incurred by the Council. Without limiting the Council’s legal rights, if any steps, including the use of debt collectors, are necessary to recover unpaid processing costs, I/we agree to pay all costs of recovering those processing costs. If this application is made on behalf of a trust (private or family), a society (incorporated or unincorporated) or a company, in signing this application I/we are binding the trust, society or company to pay all the above costs and guaranteeing to pay all the above costs in my/our personal capacity.
Full name:
Address: Postcode:
Signature: Date Signed:
Full name:
Signature: Date Signed:
Send
Garden Place , between 8am and 4.45pm Monday – Friday or post to:
Planning Guidance ManagerPlanning Guidance UnitHamilton City CouncilPrivate Bag 3010Hamilton 3240
PRIVACY INFORMATION:
may also be made available to the public on the Council’s website. These details are collected to inform the general public and community
please contact the Council.
6 PG F1 / April 2018
I/we understand thatI/we understand that the Council may charge me/us for all costs actually and reasonably incurred in processingthis application. Subject to my/our rights under sections 357B and 358 of the RMA to object to any costs, I/weundertake to pay all and future processing costs incurred by the Council. Without limiting the Council’s legalrights, if any steps, including the use of debt collectors, are necessary to recover unpaid processing costs, I/weagree to pay all costs of recovering those processing costs. If this application is made on behalf of a trust (privateor family), a society (incorporated or unincorporated) or a company, in signing this application I/we are bindingthe trust, society or company to pay all the above costs and guaranteeing to pay all the above costs in my/ourpersonal capacity.
of a resource consent (LGA (2002) sec 198(a)).
Consent
Impermeable surface area
Land use consent Subdivision consent Other
Address of development:
Gross site area:
Zone:
m" Proposed: m"