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1. Address of Building to which work relates (please provide a site plan):
Address:
Post Code:
Phone Number:
E-Mail:
2. Name and Address of Owner/Applicant:
Surname:
First Name:
Postcode:
Fax:
3. Name and Address of Person Carrying out the Work:
Email:
Is this a listed building?
Is it in a conservation area?
Description and extent of work to be carried out:
Date the Demolition is intended to start:
I confirm that in my capacity of owner/agent of the above building I am authorised to submit this formal notice in relation to the building work as described and is submitted in accordance with Regulation 21. I understand that I may have to pay another charge when you inspect the work for the first time. I will pay this charge when I receive an invoice.
Please define your capacity: