Change and/or Cancellation of
Resource Consent Condition Application
Resource Management Act 1991
1.0 Application Details
Resource Consent to which this application relates:
(File Number and Description of Activity)
Application for a change and/or cancellation of Condition Number (s):
of the above-mentioned Resource Consent.
Address:
Legal Description:
2.0 Applicant Details
Name:
(please write all names in full)
Company/Trustee Name:
Physical Address:
Postal Address (if different):
Phone (day):
Email:
Postal code:
Postal code:
(home):
I attach:
Relevant supporting information (eg amended plans etc).
Assessment of Environmental Effects as per 4th Schedule RMA 1991 and other Schedule 4 information as
appropriate.
Please provide an electronic copy (in PDF file format) of the full application (Application Form, Checklist,
AEE, Application Report and Plan Diagrams), either on CD Rom, Flash Drive or by email (provided
attachment size does not exceed 25MB) to [email protected]
Planning Guidance
Questions?
Hamilton City Council
Phone: 07 838 6699
For general planning guidance enquiries, contact the duty planner
weekdays 8am – 4.45pm Email: [email protected]
PG F5 / MAR 2015
1
3.0 Consent Holder Details (In principle all correspondence will be sent to the agent unless otherwise stated – see below)
Consent Holder Name:
(If different from applicant) Postal Address:
I attach written confirmation that I have the Consent Holder’s approval to make this application
(If applicant is not the consent holder)
4.0 Agent/Consultant Details (In principle all correspondence will be sent to the agent unless otherwise stated – see below)
Company/Name:
Contact Person:
Postal Address of Agent:
Phone (business):
Email:
Postal code:
(mobile):
Fax:
5.0 Address for Correspondence and Invoices (In principle all communication will be via electronic form i.e. email)
All correspondence (excluding invoices) sent to (if different from Agent):
Company/Name:
Postal Address:
Email:
Invoices sent to (if different from the Applicant):
Company/Name:
Postal Address:
Email:
Planning Guidance
Questions?
Hamilton City Council
Phone: 07 838 6699
For general planning guidance enquiries, contact the duty planner
weekdays 8am – 4.45pm Email: [email protected]
PG F5 / MAR 2015
2
Deposit
The required deposit must be paid before any processing of the application will start.
The following application deposit fee for the processing of this application is enclosed or has been paid.
Note: Engineering fees and Environment Health fees applicable to this application will be invoiced
separately on time basis.
Please indicate payment method:
Direct Credit Cash, Credit card or EFTPOS via Municipal Building Cheque
I/we understand that Council may invoice me for the actual and reasonable costs incurred in
the processing of this application.
Application Deposit Fee: $
For a list of fees and charges visit www.hamilton.govt.nz. Payment can be made by cash, EFTPOS or credit card at
the Municipal Building, Garden Place or by direct credit 02-0316-0030142-006. If paying by direct credit, please
quote Particulars: Planning, Code: Name of Applicant, Reference: Address of Application.
Applicant/Agent Name:
Postal Address for Service:
Post Code:
Signature:
Date:
Work Phone:
Home Phone:
Email:
Mobile:
Fax:
IMPORTANT!
Has the prescribed procedure of pre-design, pre-application and lodgement meetings been followed?
If not, the application is likely to be returned.
Send
Email this form and supporting documents to [email protected], drop into the duty planner at
the ground floor of Municipal Building, Garden Place between 8am and 4.45pm Monday to Friday or Post to
Planning Guidance, Hamilton City Council, Private Bag 3010, Hamilton 3240
Planning Guidance
Questions?
Hamilton City Council
Phone: 07 838 6699
For general planning guidance enquiries, contact the duty planner
weekdays 8am – 4.45pm Email: [email protected]
PG F5 / MAR 2015
3