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Please only use this form to submit a Full Plans Building Regulation application. On submitting your application you will be able to print an online acknowledgement and upload plans. Fields marked with * are mandatory. GENERAL NOTES CHARGES Note 18 INSULATION Note 23 DRAINAGE     Connection Note 13     Build Over Note 14     Proximity Note 15 HOT WATER STORAGE Note 24 Applicant Name*        Note 1 Address* Post Code* Telephone Number* Email Note 2 Agent Name Note 3 Address Postcode Telephone Number Email Location* Note 4 Proposal* Note 5 Is the proposed work subject to Partnering/ LANTAC approval No Yes No Storeys Proposed Use Note 11 Current Use Estimated Cost Fire Precautions* Yes No Note 6 and Note 16 Consent To Conditions* Yes No Note 9 Extension Of Time* Yes No Note 10 STATEMENT This notice is given in relation to the building work as described and is submitted in accordance with regulation 12(2)(b). Please check the box below to show your agreement to this statement and enter your name and the date. Statement Yes No Note 8 Signature* Note 12 Signature Date DD-MM-YYYY