Planning Application Form - Strategic Planning & Economic Development Directorate Page 13
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17Cork City Council
Comhairle Cathrach Chorcaí
SUPPLEMENTARY APPLICATION FORM
Please answer all questions fully
1. Is this application in respect of an extension to the family home: Yes [
]
No [
]
N.B – The family home above must be your permanent private residence.
Your response will determine the level of Development Contribution payable.
2. If the response to Question 1 is Yes and if the Applicant’s address supplied at Question
23 is not the location of the proposed development, please clarify why this is the case:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
3.
Schedule of Floor Areas and Uses
(a)
A schedule of proposed floor areas and uses shall be provided with all applications.
(b)
Where a change of use is proposed, a Schedule of existing/permitted uses and floor
areas shall be provided.
(c)
For Residential/Apartment development, a Schedule of floor areas of each unit shall
be provided.
I hereby declare that, to the best of my knowledge and belief, the information given in
this form is correct and accurate.
Signed: ___________________________________
Date: ____/____/_________
(Applicant or Agent as appropriate)
13
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