St Annes-on-the-Sea Land & Building Company

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Application in respect of Change of Use, Alteration or Redevelopment

Your Details

Title Mr Mrs Ms Miss

Name of Applicant in full

Address

Post Code

Telephone

Email

Agents' Details Name of Solicitor

Address of Solicitor

Name of Architect

Address of Architect

Property Information Lease Code

Site Address

Application Details

Type of Application Change of Use Alterations Redevelopment Other

Application Description

Period Permanent Temporary

If a Temporary period is required, please select the start and end dates:

Period Start Period End

Estimated Cost of Works

Planning Information

Planning Permission Granted? Yes No n/a

If Planning Permission has been granted, please state the local authority reference number and date of permission:

Reference Number Date

I/We apply for permission in respect of the change of use/alteration/redevelopment described in this application and on the plans to be forwarded to the St Annes-on-the-Sea Land & Building Company office in support of this application. By submitting this form I/we agree to pay the surveyor fees which I/we understand will be assessed in accordance with Note 1 within the Terms & Conditions.