Appendix 3
Submission on a publicly notified proposed policy statement or plan under clause 6 of the first schedule to the Resource Management Act 1991
To (Name of local authority)
Submission on (Name of proposed policy statement or plan)
Name: (Full name)
Address: (Full postal address)
- The specific provisions of the proposed policy statement or plan that my submission relates to are as follows:
- My submission is that:
(State in summary the nature of your submission. Clearly indicate whether you support or oppose the specific provisions or wish to have amendments made, giving reasons) - I see the following decision from the local authority:
(Give precise details) - I do or do not wish to be heard in support of my submission.
- If others make a similar submission I would or would not be prepared to consider presenting a joint case with them at any hearing.
.....................................................................
(Signature of person making submission or person authorised to sign on behalf of person making submission)
.....................................................................
(Date)
Address for service of person making submission:
.....................................................................
.....................................................................
Telephone No: ............................................
Fax No: .......................................................
