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northMrks
9d or./plannhE
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Emairplanoingcontror@nonhErks
NorthWarwickshire
Borough
Council
cvg1DE
Applicationfor approvalof detailsreservedby condition.
Act1990
TownandCountryPlanning
Areas)Act 199o
Planning(ListedBuildingsandConservation
you <rn aon|plcte.nd submltthis form electronlc.lly vl. tft. Phnhlng Po.ttl by yltltlng w*v.pl.nnlngport.l'govr|k/ryply
of rppllc.tionson plannlngauthorityweb3ltel
Publicatlon
Qoc'lzttofowty
Pleorenoteth.t th. Inforfirtlon proyid€don thls .ppllotlon form .nd In rupponlng doclmenB m|y b. publlthad on tha
Autftorlvr w.bslt .It your.qulr.5ny fuilrel dtdf<ltlon, ple.3e<ont.<tlhe Astho.lvs Pl.nnlngdep.rtm.nt.
andblackink
Pleas€
usingblockcapitals
complete
ofyourapplication.
guidance
willdelaytheprocessing
notesasincofiect
completion
thatyo-u
readtheaccompaqnng
It isimporiant
2. Agent Nameand Addr6t
I . Appllcrnt l{.me and Add.est
lith:
n"'",wA.ec-us
IMR I ,,,,,
9urfoN
La5l tme:
Company
(optrlonal):
Unit:
f---l
I
xouse
I number
ttousef--__l
suffix:I
I
?ug%.LJ-
nth:
Lastname:
bAE{EQ
Company
(optional):
R€D
Unit:
tlouse
House
name:
Address1
Addressl:
Address2
Addre5s
Address3:
Address3:
Countli
Countyl
Country:
Country:
Postcod
Postcod
I
I
F.-/AT€E/ALS [ Tb
House
number: I
I House |
I sufflxr I
o:rig.i l:J
\
|
I
4. Ple-appli(ationAdvice
3, SiteAddre3sDetalls
Haras5istanceorprioradvicebeensoughtfromthelocal
provide
stte.
address
o{theapplication
Please
thefullpostal
aboutthisapptication?
authority
Housef--_ l
House
f-----l
n rc
Uflv",
Unit:
number:
suffix:
I
I
L-------.1
House
MANOP-
{67p:s€
lfYes,pl€asecomplerethe followinginformationabouttheadvice
you weregiv€n.CThiswillhelp
the authorityto dealwith this
applicationmoreefficiently).
Plearetickifthe full contactdetaikarenot
known,andthen(ompleteasmuchaspossible:
€ARf-{
Addressll
Address2:
ANgL4
Address3:
NUN€AT?N
Referencel
6rAeN@-qte.e
Countyl
P4\? &og/O-zgs
pqP
Postcode
(optional)l
Des(riptionof lo<ationor a grid referen<e.
(mustbe ompleted if post(odeis notknown):
Easting:
DAtE(DD/MM/Y.TYY):
(mustbe pre-application
submittion)
pre-application
advicerecejved?
Detailsof
coNb
Northin9:
rTlOhJ :beT4.tL-
5. DcscllptlonOfYour Propos.l
number
providea desciptionof the approveddevelopmentar shownon the decirionletter,includingthe applicationreference
Please
anddateofdecisionin the re<tionsbelow:
R2re r.-tA|rl@/\ O? -rvio
Reterence
number
Ft.='lltN(+
F&)r-s; tue
Dateof de<ision:
+ cn;lq
Pettl\Te
u<E
{Datemu5tbe pre-application
submission)(DO/MM'YYY)
Please
statethe (ondiion numbe(s)to whichthir applicationrelate!
L
6.
R€IA,STAT€D e'44 1a1g: t<c E $
2.
7.
lugnbNcr
3.
?co't<.--reD
g?eC-E:
''( Pee P'zo(ec;r r)A
'aer<{ro
Qt4f veAIc.Le AC<ESS
t^jil€El-'\j}+s*{
8.
9.
10.
Hasthedeveloomentakeadvstaned?
(datemustbe pre-appllcatlon
submission)
lf Yes,pleasestatewhen the development$aned (DD/M[4/YY1'Y)|
Hasthe developmentb€encompleted?
(datemusrbe pre-application
submission)
lf Yer,pleas€itate when the developmentwascompleted (DD/MM/YY:Yn:
providea tull des(riptionand/orlistof the materialydetails
thal atebeingsubminedlQlgP!9y1!
Please
t-at-./'Tl.'.1
t Q l+ G2 2-ew /'fP€€
tu<raz4tre.> -<"ta-i9
vez..€'N
=).'!Lz'a
'TUAtt
.AZt<4i319 P.-i:\t-\);
4eTAoo/
Paotz<:-.Ttc.N gerAao I le<,ess
7. PartDlschargeOfCondition(s)
Areyouseekingtodischargeonlypartofacondition?
licationrelatesto:
indicatewhjchpa( ofthe condition
lf Yes,
-
Yes ,d^o
?r-+\
.,.J ' fut
8. Pl.nnlng ApplicationRequirements- checkllst
to makesureyou haverent allthe informationin supponof your proposal.Failureto submitall
Pteas€
r€adthe followingchecklist
you
r application
beingdeemedinvalid.lt will not be conrideredvaliduntilall informationrequiredby
infomationrequiredwill resultin
has
submined.
Authority been
the LocalPlanning
anddrawings
Theoriqinaland
ofotherplans
3 copi€3
necesaary
to describethe subjectofthe applicalion:
or infor-mation
Theoftoinaland
I cooiesofa
.21
(omple:ted
form: tu
anddatedapplication
fee:
The<orrect
A
I SS
9. Dedaratlon
planvd6wingsandadditional
asdescib€din thir folm andthe accompanying
l/we herebyapplyforplanningp€rmission/<onsent
information.
DAtE(DD/MM/YYYY):
@/tJ/&oto
(datecannot be preapplication)
10. Appllcant Contact D€tails
11, Agent Cont.ct Details
Telephone
numbers
Telephone
numbers
CountrycoderNationalnumber:
Extension
Countrycodel Nationalnumber:
number:
Extenslon
Countrycode:
countrycode:
12. SiteVisit
bridlewayor otherpubli<landl
c,anthe shebe seenfroma publicroad,publicfootpath,
E\e
lfthe planningauthorityneedito makean appointmentto carry
out a sitevisit whomshouldrheycontad?fPleo$sele.tonlyone)
lf Other hasbeenselected,pleaseprovide:
lelephonenumb€r:
Contactnamel
Von"n'
Emailaddress:
ENo
r--r Other (if different fiom the
U aqenvapplicant's
detaik)