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Appendix 6

Submission on an application for resource consent under section 96 of the Resource Management Act 1991

To (Name of consent authority)

Submission on (Name of proposed policy statement or plan)

Name: (Full name)

Address: (Full postal address)

  1. I support or oppose the application of (State name of applicant) for a (State type of resource consent applied for) to (State proposal or activity or applicant).
  2. The particular parts of the application I support or oppose are:
    (Clearly indicate which parts of the application you support or oppose or wish to have amendments made to)
  3. The reasons for making my submission are:
  4. I wish the consent authority to make the following decision:
    (Give details, including the nature of any conditions sought)
  5. I do or do not wish to be heard in support of my submission.

....................................................................
(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: ....................................................................

Contact person: (Name and telephone number if different from above)

Note
A copy of your submission must be served on the applicant as soon as reasonably practicable after service of your submission on the consent authority.