To [name of consent authority]
Name of person giving written approval: [full name]
*I am the owner/occupier† of the following property: [give address of the property]
|*Delete entire paragraph if not applicable.|
I have authority to sign on behalf of all the other owners/occupiers* of the property.
This is written approval to the following activity that is the subject of a resource consent application: [description of proposal].
I have read the full application for resource consent, the Assessment of Environmental Effects, and any site plans as follows: [list document names and dates].
In signing this written approval, I understand that the consent authority must decide that I am no longer an affected person, and the consent authority must not have regard to any adverse effects on me.
I understand that I may withdraw my written approval by giving written notice to the consent authority before the hearing, if there is one, or, if there is not, before the application is determined.
*Signature of person giving written approval (or person authorised to sign on behalf of person giving written approval):
Address for service of person giving written approval:
Contact person: [name and designation, if applicable]
|*A signature is not required if you give your written approval by electronic means.|
Notes to affected person signing written approval
Conditional written approvals cannot be accepted.
There is no obligation to sign this form, and no reasons need to be given.
If this form is not signed, the application may be notified with an opportunity for submissions.
If signing on behalf of a trust or company, please provide additional written evidence that you have signing authority.