The [ insert name of planning authority ], in exercise of the powers conferred on it by [section [XXX(1)]] of the Planning (Wales) Act [20XX] (“the Act”) makes the following Order—
Mae [ enw'r awdurdod cynllunio ], drwy arfer y pwerau a roddwyd iddo gan [adran [XXX(1)] o Ddeddf Cynllunio (Cymru) [20XX] ("y Ddeddf") yn gwneud y Gorchymyn canlynol—