Sections 169 and 181, Resource Management Act 1991
[Name of territorial authority] has received notice of a requirement for a designation (or an alteration to a designation) from [name of Minister, local authority, or requiring authority giving notice of requirement].
The requirement is for:
[describe what is sought in the notice of requirement].
The site to which the requirement applies is as follows:
[describe the site as it is commonly known and in a way that will enable it to be easily identified].
The notice of requirement may be inspected at [place]. Please con-tact [name of person handling queries and contact phone number] if you have any questions about the notice of requirement.
Any person may make a submission on the notice of requirement. You may do so by sending a written submission to [name of territo-rial authority] at [address and other contact details]. The submission must be in form 21. Copies of this form are available from [name of territorial authority].
Submissions close on [closing date, which must be the 20th working day after this public notice].
You must serve a copy of your submission on [name of person giving notice of requirement], whose address for service is [address for service of person giving notice of requirement], as soon as reasonably practicable after serving your submission on [name of territorial authority].
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Signature on behalf of
[name of territorial authority]
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Date