%PDF-1.7 % 1 0 obj << /CropBox[0 0 595.276 841.89] /Annots 2 0 R /Parent 154 0 R /StructParents 32 /Contents 3 0 R /Rotate 0 /MediaBox[0 0 595.276 841.89] /Resources << /Font << /T1_0 204 0 R /T1_1 205 0 R >> /ProcSet[/PDF/Text] >> /Type/Page /Group << /CS/DeviceRGB /S/Transparency >> >> endobj 2 0 obj [ 49 0 R 46 0 R 18 0 R 34 0 R 35 0 R 52 0 R 29 0 R 17 0 R 48 0 R 24 0 R 25 0 R 42 0 R 43 0 R 40 0 R 41 0 R 38 0 R 39 0 R ] endobj 3 0 obj << /Length 6977 >> stream BT /Content <>BDC 0 0 0 rg /RelativeColorimetric ri /T1_0 1 Tf 6 0 0 6 511.654 5.752 Tm (Version ECAB 2021)Tj EMC ET 0 0 0 RG 0 i 1.417 w q 1 0 0 1 12.756 603.78 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.756 158.74 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.606 596.693 cm 0 0 m 0 -430.866 l S Q q 1 0 0 1 5.669 596.693 cm 0 0 m 0 -430.866 l S Q q 1 0 0 1 5.669 165.827 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.519 158.74 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.606 596.693 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.756 603.78 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q BT /Content <>BDC 1 i /T1_0 1 Tf 10 0 0 10 9.921 575.02 Tm (Was the use of the building on 19 March 2014 \(or the last use before th\ at date\) solely as either an amusement arcade/centre or casino?)Tj EMC ET 1 1 1 rg q 1 0 0 1 79.37 563.425 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 0.5 w 79.37 553.425 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 93.542 555.925 Tm (No)Tj EMC ET 1 1 1 rg q 1 0 0 1 11.339 563.425 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 11.339 553.425 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 25.511 555.925 Tm (Yes)Tj EMC /Content <>BDC -1.559 -20.767 Td (Is any part of the land, site or building: )Tj 0 -1.2 TD (- in an area of outstanding natural beauty; )Tj T* (- in an area specified by the Secretary of State for the purposes of enh\ ancement and protection of the natural beauty and amenity of the )Tj T* ( countryside; )Tj T* (- in the Broads; )Tj T* (- in a National Park; )Tj T* (- in a World Heritage Site; )Tj T* (- in a site of special scientific interest; )Tj T* (- in a safety hazard area; )Tj T* (- in a military explosives storage area; )Tj T* (- a scheduled monument \(or the site contains one\); )Tj T* (- a listed building \(or within the curtilage of a listed building\))Tj 25.116 0 Td (.)Tj EMC /Content <>BDC 1 0 0 rg -25.116 32.192 Td (If you have answered no above, the proposal will exceed the limits set b\ y legislation. In this circumstance, you should not continue with )Tj T* (this application and seek advice from the Local Planning Authority on th\ e best course of action.)Tj EMC ET 1 1 1 rg q 1 0 0 1 79.37 206.261 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 79.37 196.261 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 93.542 198.761 Tm (No)Tj EMC ET 1 1 1 rg q 1 0 0 1 11.339 206.261 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 11.339 196.261 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 25.511 198.761 Tm (Yes)Tj EMC /Content <>BDC 1 0 0 rg -1.559 -1.776 Td (If you have answered yes above, the proposal will exceed the limits set \ by legislation. In this circumstance, you should not continue with )Tj T* (this application and seek advice from the Local Planning Authority on th\ e best course of action.)Tj EMC /Content <>BDC 0 0 0 rg /T1_1 1 Tf 12 0 0 12 9.921 590.528 Tm (4. Eligibility)Tj EMC /Content <>BDC 1 0 0 rg /T1_0 1 Tf 10 0 0 10 9.921 458.801 Tm (If you have answered yes above, the proposal will exceed the limits set \ by legislation. In this circumstance, you should not continue with )Tj T* (this application and seek advice from the Local Planning Authority on th\ e best course of action.)Tj EMC ET 1 1 1 rg q 1 0 0 1 79.37 484.056 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 79.37 474.056 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 93.542 476.556 Tm (No)Tj EMC ET 1 1 1 rg q 1 0 0 1 11.339 484.056 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 11.339 474.056 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 25.511 476.556 Tm (Yes)Tj EMC /Content <>BDC -1.559 3.043 Td (Will be the total combined floor space in the building \(previously and \ in this proposal\) changed to dwellinghouses \(Use Class C3\) )Tj T* (exceed 150 square metres?)Tj EMC /Content <>BDC 1 0 0 rg 0 -11.556 TD (If you have answered No above, the proposal will exceed the limits set b\ y legislation. In this circumstance, you should not continue with )Tj 0 -1.2 TD (this application and seek advice from the Local Planning Authority on th\ e best course of action.)Tj EMC ET 1 1 1 rg q 1 0 0 1 79.37 404.687 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 79.37 394.687 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 93.542 397.187 Tm (No)Tj EMC ET 1 1 1 rg q 1 0 0 1 11.339 404.687 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 11.339 394.687 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 25.511 397.187 Tm (Yes)Tj EMC /Content <>BDC -1.559 3.043 Td (Will all the proposed new dwellinghouses have gross internal floor areas\ of at least 37 square metres, and comply with the nationally )Tj T* (described space standard?)Tj EMC /Content <>BDC 6 0 0 6 283.907 5.753 Tm (Page 2 of 5)Tj EMC ET 0 i 1.417 w q 1 0 0 1 12.756 836.221 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.756 617.952 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.606 829.134 cm 0 0 m 0 -204.095 l S Q q 1 0 0 1 5.669 829.134 cm 0 0 m 0 -204.095 l S Q q 1 0 0 1 5.669 625.039 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.519 617.952 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.606 829.134 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.756 836.221 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q 0.5 w 77.45 776.692 67.115 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 782.863 Tm (Unit:)Tj EMC ET 0 i 297.136 776.692 67.115 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 231.024 782.863 Tm (Number:)Tj EMC ET 0 i 0.34 w 559.341 776.692 24.596 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 493.229 782.863 Tm (Suffix:)Tj EMC ET 0 i 0.5 w 77.45 751.181 506.486 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 757.352 Tm (Building name:)Tj EMC ET 0 i 77.45 725.669 506.486 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 731.84 Tm (Address 1:)Tj EMC ET 0 i 77.45 700.157 506.486 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 706.328 Tm (Address 2:)Tj EMC ET 0 i 77.45 674.645 506.486 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 680.816 Tm (Address 3:)Tj EMC ET 0 i 77.45 649.134 506.486 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.338 655.305 Tm (Address 4:)Tj EMC ET 0 i 0.34 w 77.452 623.622 217.351 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.34 629.793 Tm (Postcode:)Tj EMC /Content <>BDC -0.142 17.767 Td (Please provide the full postal address of the application site.)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.919 822.97 Tm (3. Site Address Details)Tj EMC ET endstream endobj 4 0 obj << /CropBox[0 0 595.276 841.89] /Annots 5 0 R /Parent 154 0 R /StructParents 50 /Contents 6 0 R /Rotate 0 /MediaBox[0 0 595.276 841.89] /Resources << /Font << /T1_0 204 0 R /T1_1 205 0 R >> /ProcSet[/PDF/Text] >> /Type/Page /Group << /CS/DeviceRGB /S/Transparency >> >> endobj 5 0 obj [ 66 0 R 58 0 R 59 0 R 57 0 R ] endobj 6 0 obj << /Length 2342 >> stream BT /Content <>BDC 0 0 0 rg /RelativeColorimetric ri /T1_0 1 Tf 6 0 0 6 511.654 5.752 Tm (Version ECAB 2021)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.922 822.968 Tm (5. Description of Proposed Works, Impacts and Risks)Tj EMC ET 0 0 0 RG 0 i 1.417 w q 1 0 0 1 12.756 836.22 cm 0 0 m 569.764 0 l S Q q 1 0 0 1 12.756 17.008 cm 0 0 m 569.764 0 l S Q q 1 0 0 1 589.607 829.133 cm 0 0 m 0 -805.038 l S Q q 1 0 0 1 5.669 829.133 cm 0 0 m 0 -805.038 l S Q q 1 0 0 1 5.669 24.095 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.52 17.008 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.607 829.133 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.756 836.22 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q BT /Content <>BDC 1 i /T1_0 1 Tf 10 0 0 10 9.921 325.571 Tm (Are any associated building works or other operations required to make t\ his change? )Tj 0 -1.2 TD (Note that such works are restricted to those listed below that are reaso\ nably necessary to convert the building for use as a dwellinghouse: )Tj T* (- the installation or replacement of windows, doors, roofs, or exterior \ walls; )Tj T* (- the installation or replacement of water, drainage, electricity, gas o\ r other services; )Tj T* (- partial demolition to the extent reasonably necessary to carry out the\ works listed above.)Tj EMC ET 1 1 1 rg q 1 0 0 1 79.37 265.787 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 0.5 w 79.37 255.787 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 93.542 258.287 Tm (No)Tj EMC ET 1 1 1 rg q 1 0 0 1 11.339 265.787 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 11.339 255.787 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 25.511 258.287 Tm (Yes)Tj EMC ET 0 i 11.339 22.679 572.598 198.423 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 239.114 Tm (If yes, please provide details of the design and external appearance of \ the building in regard to these building works or other operations )Tj 0 -1.38 TD (\(including partial demolition\):)Tj EMC ET 0 i 11.34 342.993 572.598 453.543 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.34 803.209 Tm (Please describe the proposed development:)Tj EMC /Content <>BDC 6 0 0 6 283.907 5.752 Tm (Page 3 of 5)Tj EMC ET endstream endobj 7 0 obj << /CropBox[0 0 595.276 841.89] /Annots 8 0 R /Parent 154 0 R /StructParents 55 /Contents 9 0 R /Rotate 0 /MediaBox[0 0 595.276 841.89] /Resources << /Font << /T1_0 204 0 R /T1_1 205 0 R >> /ProcSet[/PDF/Text] >> /Type/Page /Group << /CS/DeviceRGB /S/Transparency >> >> endobj 8 0 obj [ 67 0 R 68 0 R 69 0 R 70 0 R ] endobj 9 0 obj << /Length 2326 >> stream BT /Content <>BDC 0 0 0 rg /RelativeColorimetric ri /T1_0 1 Tf 6 0 0 6 511.654 5.752 Tm (Version ECAB 2021)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.922 822.969 Tm (5. Description of Proposed Works, Impacts and Risks \(continued\) )Tj EMC ET 0 0 0 RG 0 i 1.417 w q 1 0 0 1 12.757 836.221 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.757 19.843 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.607 829.134 cm 0 0 m 0 -802.204 l S Q q 1 0 0 1 5.67 829.134 cm 0 0 m 0 -802.204 l S Q q 1 0 0 1 5.67 26.93 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.52 19.843 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.607 829.134 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.757 836.221 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q 0.5 w 11.339 308.977 572.598 201.259 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 516.909 Tm (Please provide details of any transport and highways impacts and how the\ se will be mitigated)Tj 38.99 0 Td (:)Tj EMC /Content <>BDC -39.232 25.937 Td (Note that this figure should be the number of dwellinghouses proposed by\ the development that is additional to the number of )Tj 0 -1.2 TD (dwellinghouses on the site immediately prior to the development.)Tj EMC ET 0 i 0.351 w 238.112 790.867 51.023 19.842 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 11.34 797.038 Tm (What will be the net increase in dwellinghouses:)Tj EMC ET 0 i 0.5 w 11.339 28.347 572.598 201.26 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 290.138 Tm (Please provide details of any flooding risks and how these will be mitig\ ated. )Tj 0 -1.38 TD (A flood risk assessment should accompany the application where the site:\ )Tj T* (- is in Flood Zones 2 or 3 \(Check online: https://flood-map-for-plannin\ g.service.gov.uk/ \); or )Tj T* (- is in an area with critical drainage problems \(Check with the Local P\ lanning Authority, it will have been notified of such areas by the )Tj T* ( Environment Agency\).)Tj EMC ET 0 i 11.339 535.749 572.598 201.259 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 743.681 Tm (Please provide details on the provision of adequate natural light in all\ habitable rooms of the dwellinghouses:)Tj EMC /Content <>BDC 6 0 0 6 283.907 5.752 Tm (Page 4 of 5)Tj EMC ET endstream endobj 10 0 obj << /CropBox[0 0 595.276 841.89] /Annots 11 0 R /Parent 154 0 R /StructParents 60 /Contents 12 0 R /Rotate 0 /MediaBox[0 0 595.276 841.89] /Resources << /Font << /T1_0 204 0 R /T1_1 205 0 R /T1_2 82 0 R >> /ProcSet[/PDF/Text] >> /Type/Page /Group << /CS/DeviceRGB /S/Transparency >> >> endobj 11 0 obj [ 90 0 R 105 0 R 106 0 R 110 0 R 93 0 R 97 0 R 98 0 R 72 0 R 73 0 R 74 0 R 100 0 R 101 0 R 102 0 R 103 0 R 87 0 R 88 0 R 89 0 R 83 0 R 84 0 R 85 0 R 86 0 R 75 0 R 76 0 R 77 0 R 78 0 R ] endobj 12 0 obj << /Length 9188 >> stream BT /Content <>BDC 0 0 0 rg /RelativeColorimetric ri /T1_0 1 Tf 6 0 0 6 511.654 5.752 Tm (Version ECAB 2021)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.921 565.016 Tm (6. Checklist)Tj EMC /Content <>BDC /T1_0 1 Tf 10 0 0 10 9.921 549.51 Tm (Please read the following checklist to make sure you provide all the req\ uired information in support of your proposal. )Tj 0 -1.2 TD (The information provided should include all the details necessary for th\ e Local Planning Authority to determine if the proposal complies )Tj T* (with permitted development legislation, and if its prior approval will b\ e required. )Tj T* (If sufficient information is not provided the Local Authority can either\ request it, or refuse the application.)Tj EMC ET 1 1 1 rg q 1 0 0 1 572.6 496.812 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 0 0 RG 0 i 0.5 w 572.6 486.812 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 306.142 495.312 Tm (A plan indicating the site and showing the proposed )Tj T* (development.)Tj EMC /Content <>BDC 0 -4.577 TD (A plan drawn to an identified scale will assist the authority in )Tj 0 -1.2 TD (assessing your development proposal. )Tj T* (Plans can be bought from one of the Planning Portal's accredited )Tj T* (suppliers: https://www.planningportal.co.uk/buyaplanningmap)Tj EMC ET 1 1 1 rg q 1 0 0 1 277.796 496.812 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 277.796 486.812 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 11.339 495.312 Tm (All sections of this application completed in full, dated and )Tj T* (signed.)Tj EMC ET 1 1 1 rg q 1 0 0 1 277.796 472.717 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 277.796 462.717 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 11.339 465.217 Tm (The correct fee)Tj EMC ET 0 i 1.417 w q 1 0 0 1 12.756 578.269 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.756 388.347 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.606 571.182 cm 0 0 m 0 -175.748 l S Q q 1 0 0 1 5.669 571.182 cm 0 0 m 0 -175.748 l S Q q 1 0 0 1 5.669 395.434 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.519 388.347 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.606 571.182 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.756 578.269 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q 1 1 1 rg 1 i q 1 0 0 1 277.796 434.45 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 0.5 w 277.796 424.45 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 11.339 444.95 Tm (A floor plan indicating the total floor space in square metres of )Tj T* (each dwellinghouse, the dimensions and proposed use of each )Tj T* (room, the position and dimensions of windows, doors and )Tj T* (walls, and the elevations of the dwellinghouses)Tj EMC ET 1 1 1 rg q 1 0 0 1 572.599 468.465 cm 0 0 m 0 -10 l 10 -10 l 10 0 l 0 0 l h f Q 0 i 572.599 458.465 10 10 re S BT /Caption <>BDC 0 0 0 rg 1 i /T1_0 1 Tf 10 0 0 10 306.142 466.965 Tm (A site specific flood risk assessment )Tj /T1_2 1 Tf T* (\(if required as per the flood risk details of question 5\))Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.921 358.087 Tm (7. Declaration)Tj EMC /Content <>BDC /T1_0 1 Tf 10 0 0 10 517.322 288.382 Tm (\(date cannot be )Tj T* (pre-application\))Tj EMC ET 0 i 11.339 272.126 195.59 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 301.476 Tm (Signed - Applicant:)Tj EMC ET 0 i 215.433 272.126 195.59 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 216.433 301.476 Tm (Or signed - Agent:)Tj EMC ET 0 i 419.528 272.126 90.708 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 420.528 301.476 Tm (Date \(DD/MM/YYYY\):)Tj EMC ET 0 i 1.417 w q 1 0 0 1 12.756 371.338 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.756 266.457 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.606 364.251 cm 0 0 m 0 -90.707 l S Q q 1 0 0 1 5.669 364.251 cm 0 0 m 0 -90.707 l S Q q 1 0 0 1 5.669 273.544 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.519 266.457 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.606 364.251 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.756 371.338 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q BT /Content <>BDC 1 i /T1_0 1 Tf 10 0 0 10 9.921 342.579 Tm (I/we hereby apply for a determination as to whether prior approval will \ be required as described in this form and the accompanying plans/)Tj T* (drawings and additional information. I/we confirm that, to the best of m\ y/our knowledge, any facts stated are true and accurate and any )Tj T* (opinions given are the genuine opinions of the person\(s\) giving them.)Tj EMC ET 0 i q 1 0 0 1 12.757 249.45 cm 0 0 m 274.96 0 l S Q q 1 0 0 1 12.757 31.182 cm 0 0 m 274.96 0 l S Q q 1 0 0 1 294.804 242.363 cm 0 0 m 0 -204.094 l S Q q 1 0 0 1 5.67 242.363 cm 0 0 m 0 -204.094 l S Q q 1 0 0 1 5.67 38.269 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 287.717 31.182 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 294.804 242.363 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.757 249.45 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q 0.5 w 11.342 172.913 62.361 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.342 202.263 Tm (Country code:)Tj EMC ET 0 i 82.206 172.915 153.07 25.51 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 83.206 200.595 Tm (National number:)Tj EMC ET 0 i 243.783 172.914 45.354 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 244.783 200.595 Tm (Extension:)Tj EMC ET 0 i 11.342 127.56 62.361 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.342 156.91 Tm (Country code:)Tj EMC ET 0 i 82.206 127.56 153.07 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 83.206 156.241 Tm (Mobile number \(optional\):)Tj EMC ET 0 i 11.342 82.206 62.361 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.342 111.556 Tm (Country code:)Tj EMC ET 0 i 82.209 82.206 153.07 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 83.209 110.887 Tm (Fax number \(optional\):)Tj EMC ET 0 i 0.351 w 11.342 36.85 277.794 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.045 65.531 Tm (Email address:)Tj EMC ET 0 i 0.5 w 306.143 172.913 62.363 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 307.143 202.263 Tm (Country code:)Tj EMC ET 0 i 377.009 172.913 153.07 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 378.009 200.594 Tm (National number:)Tj EMC ET 0 i 538.584 172.914 45.354 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 539.584 200.595 Tm (Extension:)Tj EMC ET 0 i 306.143 127.56 62.363 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 307.143 156.91 Tm (Country code:)Tj EMC ET 0 i 377.006 127.56 153.07 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 378.006 156.241 Tm (Mobile number \(optional\):)Tj EMC ET 0 i 306.143 82.206 62.363 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 307.143 111.556 Tm (Country code:)Tj EMC ET 0 i 377.009 82.206 153.07 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 378.009 110.887 Tm (Fax number \(optional\):)Tj EMC ET 0 i 0.351 w 306.143 36.85 277.794 25.511 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 306.846 65.531 Tm (Email address:)Tj EMC /Content <>BDC -0.07 15.449 Td (Telephone numbers)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 304.725 236.197 Tm (9. Agent Contact Details)Tj EMC ET 0 i 1.417 w q 1 0 0 1 307.56 249.449 cm 0 0 m 274.96 0 l S Q q 1 0 0 1 307.56 31.182 cm 0 0 m 274.96 0 l S Q q 1 0 0 1 589.607 242.362 cm 0 0 m 0 -204.093 l S Q q 1 0 0 1 300.473 242.362 cm 0 0 m 0 -204.093 l S Q q 1 0 0 1 300.473 38.269 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.52 31.182 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.607 242.362 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 307.56 249.449 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q BT /Content <>BDC 1 i /T1_0 1 Tf 10 0 0 10 11.34 220.02 Tm (Telephone numbers)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.924 236.197 Tm (8. Applicant Contact Details)Tj EMC /Content <>BDC /T1_0 1 Tf 6 0 0 6 283.907 5.752 Tm (Page 5 of 5)Tj EMC /Content <>BDC /T1_1 1 Tf 12 0 0 12 9.922 822.97 Tm (5. Description of Proposed Works, Impacts and Risks \(continued\) )Tj EMC ET 0 i q 1 0 0 1 12.757 836.223 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 12.757 592.442 cm 0 0 m 569.763 0 l S Q q 1 0 0 1 589.607 829.136 cm 0 0 m 0 -229.607 l S Q q 1 0 0 1 5.67 829.136 cm 0 0 m 0 -229.607 l S Q q 1 0 0 1 5.67 599.529 cm 0 0 m 0 -3.914 3.173 -7.087 7.087 -7.087 c S Q q 1 0 0 1 582.52 592.442 cm 0 0 m 3.914 0 7.087 3.173 7.087 7.087 c S Q q 1 0 0 1 589.607 829.136 cm 0 0 m 0 3.914 -3.173 7.087 -7.087 7.087 c S Q q 1 0 0 1 12.757 836.223 cm 0 0 m -3.914 0 -7.087 -3.173 -7.087 -7.087 c S Q 0.5 w 11.339 595.278 572.598 201.259 re S BT /Artifact BMC 1 i /T1_0 1 Tf 10 0 0 10 12.339 803.21 Tm (Please provide details of any contamination risks and how these will be \ mitigated:)Tj EMC ET endstream endobj 13 0 obj << /Subtype/Type1C /Length 1791 /Filter/FlateDecode >> stream H|T{TaqSY3%PL "pG!Q"].C<(H@< T6VvyHB0ݳ!>y!NhN9ooxGlWϩuG#xb:-dNPH$15@yJz3ZȞPpGē_Ɇ8f5v[nT6/-j-7VXo`]*域~l%+j)rD qcV i2'MVd6feRԙN6~HA)~1 IM