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Appendix F: Form 23

Form 23 - Notice of removal of designation or heritage order or part of designation or heritage order

Sections 182 and 196, Resource Management Act 1991

To [name of territorial authority]

And to [names and addresses of persons known by requiring authority or heritage protection authority to be owners or occupies of any land to which the designation or heritage order relates]

And to [names and addresses of every other person who, in the opinion of the requiring authority or heritage protection authority, is likely to be affected by the designation or heritage order]

[Full name of requiring authority or heritage protection authority] gives notice that it no longer requires the following designation (or heritage order or part of a designation or part of a heritage order):

[briefly describe the designation, heritage order, or part in enough detail to identify the relevant matter and the site or place to which the designation or heritage order applies].

[Full name of requiring authority or heritage protection authority] requests the territorial authority to amend the district plan accordingly as required by section 182 (or section 196) of the Resource Management Act 1991.

..................................................

Signature on behalf of requiring authority

(or heritage protection authority)

..................................................

Date

Address for service of requiring authority (or heritage protection authority):

Telephone:

Fax/email:

Contact person: [name and designation, if applicable]


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