r 4935125492 S Click on the fields to fill them in, then press print on the tool bar to print the form. For a blank copy, just press the printer icon and use black ink and block capitals Application for Planning Permission y oo1(oL 'I EUL TownHalI,TheBouleVaFd Crawley RHIO IUZ Tel: 01293438504 Fax: 01293438495 4 copies of this ibm are required, together with plans and appropriate Ibe liii 111111111 FirstName4ILIYI LastName FE;Lt Address 1I2$(€IT14I_I1htclRIBI6I FI3I I1rItHLIlI •[Ojia93 Il"lI 111111111 II I App.Nc. I PostCodeItIJlIIltI lOFEISI 111111 11111111 AgCHj IlTIeIClllSI CityITownCjP_JYtJWLj€JYJ JWIEISfrI ItI H3I'IIIi 2. Type of Application (see Note 2) (please tick where appropriate) I gm 11111 I'I4IflI II_I1IEiIHI1iIWI Tel.No. I Customer IIsIoI5II LastName[NYILlE Address: I SeMcelDI III Agent (If any) to whom correspondence should be sent FiNameIJflhI€ISI I I I I10IDI 111111111 sIUI3IsIekI TeLNo. I Off Ice Use Only Date Received City/Town[C1Q4Ah1¼11t.ICIYJ IwnlEISITl t I 111111 IllilIllIlIllIlli Feel 1111111! 1s114H1P11_IEIYI County I I I III I LIT-lol. I°III I jIIII C) I I I I I at S C— I) 11111111 ISIOISISIEIXI rn c iii —4-I 3Z a m i— PostCodelQ]HIt 101 IIAt0l If yes, state those matters to which thIs application relates (tick where appropriate) (I) Layout of the site (a) Full planning permission (including changes of use) 0 0 appearance of buildings 0 (ii) Number and siting of buildings (Hi) (b) Outline planning permission • Design and external (iv) The means of access (v) Landscaping of the site (c) Renewal of a temporary permission If yes, state the date and number of the permission and outline the particular condition (d) Permission for retention of building or oatel continuance of use without complying with a condition imposed on a planning permission • 0— (e) Permission to develop land without complying with a condition imposed on a L planning permission — I I/I 'I 0 0 I Application No. Condition No. J f" 1,543125494 3. (a) Full address or location of the land to which this application relates 1i3 &4IPLê i2alIfleLD) (2AWLey, wes-j- susScY1 (b) State whether applicant owns or controls any adjoining land: (c) Area of site Yes E IjiI QEB Li No If yes, this iand must be edged in blue on the location plan S.W sq. metres [ Dimensions of the application site and distances from new buildings to boundaries must be clearly indicated on plans (d) Description of proposed development TO e(rENSION (ArsWeX-& APJC I tSfl bs&uwe) cctAPSslN6 LiNGc) trrc$4€rs*tYé ,SEDtZCQ4 SIt4GL ci-c2Cy S JOE + S4ThtOOM. (if residential development, state no. of units proposed and type if known e.g. houses, bungalows, flats) (e) State whether the proposal involves: (i) New building(s) or structure(s) D4es (ii) Alteration or extention of building(s) rt<es (iii) Construction of a new access to a highway 0 Yes 0 Yes vehicular pedestrian 0 No 4. Particulars of use of Buildings or Land: state (iv) Alteration of an existing access to a highway vehicular 0 Yes ELNo pedestrian 0 Yes Q#1o (v) Closure of existing access DYes (vi) Change of use only DYes B1(lo 2.EEl-DV*QIflG. (a) Present use (b) If vacant, the last use 5. Yes Additional Information J (a) Is the application for industrial, office, warehousing, storage, shopping, commercial purposes or places of public assembly? (see note 5) 'lf No fl If yes, complete any trees? LI [If yes, indicate their positions on plans If yes, a separate application for Listed (g) Does the proposed development involve demolition or alteration of a building of Special Architectural or Historic interest or demolition within a Conservation area? Buildings Consent or Conservation Area Consent may be necessary Proposed Existing L (ii) How will foul sewage be disposed of? (e.g. mains, cesspit) I) ii) C.P.1 indicate their positions on plans (e) Does the proposed development involve the felling of (h) (i) How will surface water be disposed of? part6of form 4'f of any residential units? right of way within the site? C.P.1 yes, how many units? Please indicate their positions on plans. (d) Does the proposed development involve the demolition (f) Does the proposed development involve any public part2of form yes, complete part 4 of form C.P.1 (b) Is the application for the winning or working of minerals? (c) Is the application for an agricultural dwelling or building? yes, complete A4I1bE)UST1NG1 —ft An TO eeJsTnbJch—FE J __ 0093125493 6. Plans (see Note 6). List of drawings and plans submitted as part of the application - indicate drawing numbers and scales. 4 seth of all drawings are requIred. Additional copies in respect of major applications will assist in determination of such applications 7. Fees (see Note 7) - LI_M__PecaI1±i1 If a fee is submifted please give the amount 8. I/WE APPLY FOR PLANNING PERM ISSION AS DETAILED ABOVE Signed: CkI/ lOfti oatef21C1 / on behalf of: 115 SALL-ELifJgCn1 -1\Ãç aan (insert applicant's name if signed by an agent) 9. Certificate under Article 7 of the Town and Country Planning (General Development Procedure) Order 1995 I-LB A signed certificate MUST accompany this application (See Note 9) If the applicant is the sole owner (a) the following certificate should be completed and signed CERTIFICATE A 1. Certificate A(a) I certify that: at the beginning of the period of 21 days ending with the date of the accompanying application, nobody, except the applicant, was the owner (b) of any part of the land to which the application relates. False 2. None of the land to which the application/ appeal relates is or is part of an agricultural holding fl (a) Owner means a person having a freehold interest or False (if false, see note 9) a tenancy the unexpired term of which was not less than 7 years NameofTenantIJIIjjIHlHlHWIW ' Address IlHHIHHlN IT[Ti I I DateofServiceNoticel Signed: on behalf of: 11$ iN 'I I I I I/i SALLY a12 n &em Datel9..]GJ/ i'- idle. I°H' ioi J