AuckCouncilSubmission Form

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  • 7/30/2019 AuckCouncilSubmission Form

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    ! 1.0 SUBMITTER DETAILS! Name of submitter(s)(please write all names infull)

    Physical Address:Postcode:

    Address for service: (ifdifferent) Postcode:

    Telephone (day): Mobile: Fax:

    Email:

    ! 2.0 APPLICATION DETAILSApplication Number:

    Name of applicant:(please write all names infull)

    Address of proposedactivity: Postcode:

    Description of proposed activity:

    ! 3.0 SUBMISSION DETAILSMy/our submission: (please tick one)

    ! Supports the Application !Opposes the Application !Neutral regarding the Application

    The specific parts of the application to which my/our submission relates to are: (use additional pages if required.)

    P0098.3 06/07/10

    Submission on Resource Consent Application

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    ! 3.0 SUBMISSION DETAILS contdThe reasons for my/our submission are: (use additional pages if required.)

    The decision I/we would like the Council to make is (including, if relevant, the parts of the application you wish to have amended and thegeneral nature of any conditions sought):

    ! 4.0 SUBMISSION AT THE HEARING! ! I/we wish to speak in support of my/our submission.

    ! I/we do not wish to speak in support of my/our submission.

    ! If others make a similar submission, I/we will consider presenting a joint case with them at the hearing.

    Signature of suSignature of suSignature of suSignature of submitter(s) or agent of submitter(s)bmitter(s) or agent of submitter(s)bmitter(s) or agent of submitter(s)bmitter(s) or agent of submitter(s)

    Date:

    Date:

    Date:

    !

    IMPORTANT INFORMATION

    The Council must receive this submission before the date and time indicated. A copy of this submission must also be given as soon as reasonablypracticable to the applicant at the applicants address for service.

    All submitters will be advised of hearing details at least 10 working days before the hearing. If you change your mind as to whether you wish toattend the hearing, please phone the Council so that the necessary arrangements can be made.

    PRIVACY INFORMATION

    The information you have provided on this form is required so that your submission can be processed under the RMA, so that statistics can becollected by the Council. The information will be stored on a public register, and held by the Council. The details may also be made available to thepublic on the Councils website. These details are collected to inform the general public and community groups about all consents which have beenissued through the Council. If you would like to request access to, or correction of your details, please contact the Council.