e: 
customer.services@peakdjstrict.gov.uk Aldern House t: 
01629 816200 
f: 
01629 816310 

# District National Park Authority

Application for removal or variation of a condition following grant of planning permission. 

Town and Country Planning Act 1990. 

Planning (Listed Buildings and Conservation Areas) Act 1990 
You can complete and submit this form electronically via the Planning Portal by visiting www.planningportal.gov.uk/apply 

## Publication Of Applications On Planning Authority Websites

Please note 
           that the 
                    Information provided on this 
                                                 application form 
                                                                  and in 
                                                                         supporting documents 
                                                                                                may be published on the 
Authority's website. 
                    If you 
                          require any further clarification, please 
                                                                 contact the Authority's 
                                                                                         planning department. 

Please complete 
                 using block capitals and black ink. 

It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application. 

## 1. Applicant Name And Address 2. Agent Name And Address Site Address Details

Please provide the full postal address of the application site. 

County: 
Postcode 
(optional) s^2- ajj) 
Description of location or a grid reference, 
(must be completed if postcode is not known): 
Easting: 
Northing: 
Description: 

## 5. Description Of Your Proposal

Please provide a description of the approved development as shown on the decision letter, including the application reference number and date of decision in the sections below: 

| Reference    | number:    | of    | decision        |
|--------------|------------|-------|-----------------|
| (date        | must       | be    | pre-application |
| submission)  |            |       |                 |

Please state the condition number(s) to which this application relates: 

1. 2-
6. 
2. 
7. 
3. 
8. 
4. 
9. 
5. 
10. 
Has the development already started? 
If Yes, 
please state when the 
development started 
(DD/MM/YYYY): 
Has the development been completed? 
If Yes, 
please state when 
the development was completed (DD/MM/YYYY): 

## 6. Condition(S) > Removal

Please state why you wish the condition(s) to be removed or changed: 
^WfeSTiTuTlOfsJ OF SC^EMr UfeTCD oN 
/VAA©N/t^V^E^rT^> To If you wish the existing condition to be changed, please state how you wish the condition to be varied: 
OgmpfMErn" to foC CA(lfl-V€l> OUT i(vl ulTH - 
2bic>t (on)ol KU tC - lbiO% (Oii) 
C>X 
} 24>%ot 

## 4. Pre-Application Advice

Has assistance or prior advice been sought from the local authority about this application? 

If Yes, please complete the following Information about the advice you were given. (This will help the authority to deal with this application more efficiently). 

Please tick if the full contact details are not known, and then complete as much as possible: 
Reference; 
Pl,AWM\rA& dFRC-eP^ 
Date (DD/MM/YYYY): 
U/6-i./2oltf 
(must be pre-application submission) 
Details of pre-application advice received? 

fT><2. SEZ^TlOri Vh AAAe>\CAAE/«n' 
^fUCATlOri^ 
AMeM>AAe^S TO 
g^gME) 

No 
(date must be pre-application 
submission) 
Yes 
3^0 

turoA. 2-63>o8 (0Z^ CO. 

f 

## 7. Ownership Certificates And Agricultural Land Declaration One Certificate A, B, C, Or D, Must Be Completed With This Application Form

                               CERTIFICATE OF OWNERSHIP - CERTIFICATE 
                                                                      A 
Town and 
         Country Planning 
                        (Development Management Procedure) (England) Order 2010 Certificate under Article 12 

 1 certify/?4w9ppiwefrt certifies that 
                                                                                  on the day 21 days before the date of 
                                                                                                                                                                         this application nobody 
                                                                                                                                                                                                                                 except myself/ the 
                                                                                                                                                                                                                                                                             applicant was the 
owner* 
                  of any 
                                 part of 
                                                  the land or building to which the application 
                                                                                                                                                          relates, and that none of 
                                                                                                                                                                                                                   the land to which 
                                                                                                                                                                                                                                                             the application relates is, or 
Is part of, 
                      an agricultural 
                                                        holding** 

NOTE; You should sign Certificate 
                             B, C 
                                 or D, 
                                     as appropriate, 
                                                   if you 
                                                        are the 
                                                               sole owner of the 
                                                                              land or building 
                                                                                            to which the 
application relates 
                but the 
                       land is, 
                             or is part of, an 
                                           agricultural holding. 

"agricultural tenant" 
in section 
65(8) of the Act. 

                               CERTIFICATE OF OWNERSHIP - CERTIFICATE 
                                                                       B 
Town and 
         Country Planning 
                         (Development Management Procedure) (England) Order 2010 Certificate under Article 12 

1 certify/ The applicant certifies that 1 have/the applicant has given the requisite notice to everyone else (as listed below) wbeTon the day 
21 days before the date of this application, was the owner* and/or agricultural tenant** of any part of the land or byiWfng to which this application relates. 

Address 
Date Notice 
Served 

## 7. Ownership Certificates And Agricultural Land Declaration (Continued)

|                  |               |             |              |              |            |            | CERTIFICATE    | OF OWNERSHIP    | -           | CERTIFICATE    | C           |
|------------------|---------------|-------------|--------------|--------------|------------|------------|----------------|-----------------|-------------|----------------|-------------|
| Town             | and           | Country     | Planning     | (Development | Management | Procedure) | (England)      | Order           | 2010        | Certificate    | uj          |
| I                | certify/      | The         | applicant    | certifies    | that:      |            |                |                 |             |                |             |
| -                | Neither       | Certificate | A            | or           | B          | can        | be             | issued          | for         | this           | application |
| -                | All           | reasonable  | steps        | have         | been       | taken      | to             | find            | out         | the            | names       |
| the              | land          | or          | building,    | or           | of         | a          | part           | of              | it,         | but            | I           |
| -                | "owner"       | is          | a            | person       | with       | a          | freehold       | interest        | or          | leasehold      | interest    |
| **               | "agricultural | tenant'has  | the          | meaning      | given      | in         | section        | 65(8)           | of          | the            | Town        |
| The steps        | taken         | were:       |              |              |            |            |                |                 |             |                |             |
| Notice           | of            | the         | application  | bes          | been       | published  | In             | the             | following   | newspaper      |             |
| (circulating     | in            | the         | area         | Wnere        | the        | land       | Is             | situated):      |             |                |             |
| Signed-AppKcant: |               |             |              |              |            |            |                |                 |             |                |             |
| Or               | signed        | -           | Agent:       |              |            |            |                |                 |             |                |             |
| Date             | (DD/MM/YYYY): |             |              |              |            |            |                |                 |             |                |             |
| CERTIFICATE      | OF OWNERSHIP  | -           | CERTIFICATE  | D            |            |            |                |                 |             |                |             |
| Town             | and           | Country     | Planning     | (Development | Management | Procedure) | (England)      | OrdepStflO      | Certificate | under          | Article     |
| I                | certify/      | The         | applicant    | certifies    | that:      |            |                |                 |             |                |             |
| Certificate      | A             | cannot      | be           | issued       | for        | this       | application    |                 |             |                |             |
| All              | reasonable    | steps       | have         | been         | taken      | to         | find           | out             | the         | names          | and         |
| date             | of            | this        | application, | was          | the        | owner*     | and/or         | agricultural    | tenant**    | j)^^y          | part        |
| have/            | the           | applicant   | has          | been         | unable     | to         | do             | so.             |             |                |             |
| 'owner'          | is            | a           | person       | with         | a          | freehold   | interest       | or              | leasehold   | interest       | with        |
| "agricultural    | tenant"       | has         | the          | meaning      | given      | In         | section        | 65(8}           | of          | the            | Tptm        |
| The              | steps         | taken       | were:        |              |            |            |                |                 |             |                |             |
| Notice           | of            | the         | application  | has          | been       | puMieKed   | in             | the             | following   | newspaper      |             |
| (circulating     | in            | the         | area         | where        | the        | lapdis     | situated):     |                 |             |                |             |

## 8. Planning Application Requirements - Checklist

Please read the 
following checklist to make sure you 
have sent all 
the Information in 
support of 
your proposal. Failure to 
submit all 
Information required will 
result in 
your application 
being deemed invalid. It will not be considered 
valid until all information required 
by 
the Local 
Planning Authority has been 
submitted. 

The original and 3 copies of a completed and dated application form: 
- 
The original and 3 copies of other plans and drawings or information necessary to describe the subject of the application: Q 

| The       | correct     | fee:      |
|-----------|-------------|-----------|
| -         |             |           |
| Article   | 12          |           |
| On        | the         | following |
| than      | 21          | days      |
| On        | the         | following |
| than      | 21          | days      |
| The       | original    | and       |
| Ownership | Certificate | (A,       |
| and       | Article     | 12        |
| -         |             |           |

9. Declaration l/we hereby apply for planning permission/consent as described In this form and the accompanying plans/drawings and additional information, l/we confirm that, to the best of my/our knowledge, any facts stated are true and accurate and any opinions given are the genuine opinions of the person(s) giving them. 

## 10. Applicant Contact Details 12. Site Visit

public footpath, 
bridleway or other public land? 
If the planning authority needs to make an appointment to 
out a site visit, 
whom should they contact? (Please 
select only one) 
selected, please 
provide: 

## 11. Agent Contact Details