Exemption Certificates Of land zoned for residential use or a mixture of residential and other uses, up 20 per cent may be designated for social and affordable housing under Part V of the Planning and Development Act 2000 (as amended). A certificate exempting a proposed development from the provisions of Part V may be sought under Section 97 of the 2000 Act (as amended). The certificate will be granted where land is zoned for residential use or a mixture of residential and other uses, but comprises less than four units or is for housing on 0.1 hectares or less. An applicant (or person with whom the applicant is acting in concert) will not be granted an exemption certificate except in certain very limited circumstances (set out in Section 97 Part 12 of the 2000 Act (as amended)) where they have already received an exemption certificate within the previous five years or have already benefited from an exemption certificate.
Louth County Council Planning Department EXEMPTION CERTIFICATE APPLICATION FORM Ref. No.. SECTION 1 DETAILS OF APPLICANT Applicant Details Title Surname Forenames:....County:.. Contact Details: Phone: Mobile:.. Fax:. E-mail:... Person/s acting in concert with applicant (if applicable) Title Surname Forenames:..County: Contact Details: Phone: Mobile:.. Fax:. E-mail:... Company Details (if applicable) Company Name: Company Registration No..County: Phone : Fax: E-mail: Mobile:...... Details of Direcrs
Agent Details (if applicable) Title Surname Forenames:..County: Contact Details: Phone: Mobile:.. Fax:. E-mail:... SECTION 2 DETAILS OF PROPOSED DEVELOPMENT SITE (A site layout map 1:1250 showing site and adjoining lands should attach this application) Site Address: Address: Village/Town:.. Townland:. OS Sheet No. D.E.D:. Site Size:.. Hectares Number of Dwellings Proposed:... SECTION 3 DETAILS OF LAND INTERESTS. (FOR A 5 YEAR PERIOD PRIOR TO THE DATE OF APPLICATION) Table 1. The Proposed Site Name Type of Interest Period of Interest
Table 2. Interest in adjoining land (within 400m)(if applicable) (Any interest that the applicant and or person/s acting in concert has, or had in the five year period prior the application) Land Parcel Name & Address Type of Interest Period of Interest Have you or any person acting in concert with you applied for and or received a certificate of exemption in YES NO respect of Lands detailed in Section 2 and or 3? Have you or any person acting in concert with you developed or been granted permission carry out a development YES NO on land in respect detailed in Section 2 and or 3? If the answer either of the above is YES please attach details this application. Please complete declaration attached:
Section 4 Declaration I/We declare that the information provided by me/us on this form and the attached documentation is accurate the best of my/our knowledge and my/our ability obtain. I/We the undersigned further declare that I/We am/are not aware of any facts or circumstances that would constitute grounds, under the terms of the Planning and Development Act 2000 (as amended), Section 97 Subsection 12, for the refusal by the Planning Authority grant a certificate. Applicant Signature:.. Date:. Peace Commissioner:.. Date:.
SECTION 5 THIS SECTION TO BE COMPLETED BY THE LOCAL AUTHORITY. Date Received: Date of Expiry (4 weeks from receipt): Date Further Information Requested: Date Further Information Received:.. Expiry Date (4 weeks from receipt):..determination Date: Site Size Checked: Date: Initials: Accurate: Yes/No Comments: Documentation Checked: Date: Initials: Accurate: Yes/No Comments: Certificate Granted: Certificate Refused: Granted Default: Grounds for Refusal or Default Decision by Refused Default: by