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Building Consent, PIM, COA Application - Whangarei District Council

Building Consent, PIM, COA Application - Whangarei District Council

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17 Project Information Memorandum<br />

The following matters are involved in the project:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Subdivision<br />

Alterations to land contours<br />

New or altered connections to public utilities<br />

New or altered locations and/or external dimensions of buildings<br />

New or altered access for vehicles<br />

<strong>Building</strong> work over or adjacent to any road or public place<br />

Disposal of stormwater and wastewater<br />

<strong>Building</strong> work over any existing drains or sewers or in close proximity to wells or water mains<br />

Other matters known to the applicant that may require authorisations from the territorial authority (specify)<br />

18 Specific fire design (see guidance note 6)<br />

Does the project involve a specific fire design Yes No<br />

If Yes, I understand that this application will be forwarded to the New Zealand Fire Service and agree to meet any and all<br />

costs incurred by council in connection with this<br />

Signature of<br />

Owner<br />

Agent on behalf of, and with the authority of the owner<br />

Signature<br />

Name (please print)<br />

Date<br />

06/702151 February 2012 6

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