Please indicate if the consent of the owner been obtained to apply under this scheme and attach consent to this Form. 4. Structure Details Name: Address: Year of construction: (if known) Existing use: Proposed use: (if different) 5. Classification Yes or No If yes: enter registration number (1) a protected RPS: structure? (2) a proposed protected structure? (3) protected structure Is the structure: RMP: the National Monuments Acts? Name of ACA: (4) in an ACA?* (5) included in the NIAH: Rating: NIAH?** * ACA = Architectural Conservation Area ** NIAH = National Inventory of Architectural Heritage () 6. Statutory Notifications Yes or No If yes: enter date applied/received Date applied: Do the proposed works require or have Planning Status: they been granted planning permission? Planning Ref. No: Date of notification: Do the proposed works require notification to the Minister under the National Monuments Acts? Date applied:
Please indicate if the consent of the owner been obtained to apply under this scheme and attach consent to this Form. 4. Structure Details Name: Year of construction: (if known) Address: Existing use: Proposed use: (if different) 5. Classification Yes or No If yes: enter registration number Is the structure: (1) a protected structure? RPS: (2) a proposed protected structure? (3) protected structure the National Monuments Acts? RMP: (4) in an ACA?* Name of ACA: (5) included in the NIAH?** NIAH: Rating: * ACA = Architectural Conservation Area ** NIAH = National Inventory of Architectural Heritage () 6. Statutory Notifications Yes or No If yes: enter date applied/received Do the proposed works require or have they been granted planning permission? Date applied: Planning Status: Planning Ref. No: Do the proposed works require notification to the Minister under the National Monuments Acts? Date of notification: Date applied: