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Application For Local Council Funding: Form A

This document is an application form for local council funding from the Planning Authority. It requests details about the applicant local council, architect/engineer, a description and location of the proposed project, projected costs, other sources of funding, required attachments, the project category, any related planning permissions, and declarations signed by the mayor, local council secretary, and architect/engineer. If approved, the Planning Authority will provide funds to the local council for improvements like recreational areas, landscaping, paving, lighting, transportation, or restoration projects.

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61 views3 pages

Application For Local Council Funding: Form A

This document is an application form for local council funding from the Planning Authority. It requests details about the applicant local council, architect/engineer, a description and location of the proposed project, projected costs, other sources of funding, required attachments, the project category, any related planning permissions, and declarations signed by the mayor, local council secretary, and architect/engineer. If approved, the Planning Authority will provide funds to the local council for improvements like recreational areas, landscaping, paving, lighting, transportation, or restoration projects.

Uploaded by

Anonymous RmzEd3jA
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Form A   APPLICATION FOR LOCAL COUNCIL FUNDING
 
 
Planning Authority  For PA office use only 

St. Francis Ravelin, Floriana FRN 1230, Malta Reference No. - LCF/           


/2017         

 
1 DETAILS OF APPLICANT  
     
  Local   Name of person
responsible for
Council _______________________________  this application _______________________________ 
on behalf of the
Local Council
     

  Address _______________________________  Tel. No. _______________________________ 


     
    _______________________________  Mobile Phone No. _______________________________ 
     
    _______________________________  E-mail Address _______________________________ 
     
 
2 DETAILS OF ARCHITECT / ENGINEER  
   
  Name: _______________________________  Warrant No: _____________________________ 
  _______________________________   
    Tel. No. _____________________________
  Address: _______________________________
    _______________________________  Mobile Phone _____________________________ 
No.
    _______________________________   
    _______________________________  E-mail Address _____________________________ 

3 DETAILED PROJECT DESCRIPTION 4 PROJECT LOCATION 

  _______________________________________ Address or Site Reference


  _  ________________________________________
  _______________________________________ _ 
  _  ________________________________________
_______________________________________ _ 
 
_  ________________________________________
_______________________________________ _ 
_ 
 

5 PROJECT COST
  Total Project Cost according to attached Bill of Quantities :  EUR 
______________________________________________ 
 
6 OTHER SOURCES OF FUNDING DECLARATION

I, the undersigned hereby declare that if the cost of the project is higher than the PA funds made available, other sources of funding, besides those
provided by the PA, will be made available for the completion of the project and documented evidence of the additional funding would be made
available to the PA if thus requested.

  ____________________________ _______________________________ ________________________


  APPLICANT NAME (Block Letters)  SIGNATURE   DATE 
       
 
7 ATTACHMENTS AND DOCUMENTATION 8 PROJECT CATEGORY  

    Tick all the relevant boxes. Photos should be taken in a Tick the box that is relevant to the proposed project - more than one box
manner that a before / after completion, comparison of the can be ticked
improvement can be made   
    A4 Standard Site Plan  Recreational Hard Landscaping / recreational equipment

     
    Plans ‐ Existing Project  Soft landscaping / Urban Planting 

     
    Plans ‐ Proposed Development   Paving / surfacing

     
    Photos of site (at least 3)   Energy Saving and Neighbour compatible Public Lighting

     
    Bill of Quantities  Green Transport 

     
    Other Drawings   Restoration of monuments and/or public facades upgrade

     
    Specification Drawings  Services infrastructure

     
    Catalogues  Street furniture

     
    Other Details  Other Projects

     

9  RELATED PLANNING CONSENT REFERENCES (Incl. DNOs, PAs ETC)


  ________________________________________ ________________________________________
________________________________________ ________________________________________
________________________________________  ____ 
________________________________________
__
   
 
10 APPLICANT'S DECLARATION

We, the undersigned, are hereby applying for funds under the Planning Authority's Development Fund (Local Councils) scheme and declare that to the best of our
knowledge, all the information contained in this application and the ancillary documentation submitted is correct. We also understand that incomplete or incorrect
submissions may lead to disqualification of funding. Moreover, we understand that if the submission shortcomings come to light after the award of the PA funds, the
Planning Authority will have the right to claim back the funds or parts thereof plus interest and take any further legal action as necessary.

         
  ________________________________  ________________________  _______________  ___________
  MAYOR (Block Letters)  SIGNATURE  ID NUMBER  DATE
   
         
  ______________________________________  ____________________________  __________________  _____________ 
  LOCAL COUNCIL SECRETARY (Block Letters)  SIGNATURE  ID NUMBER  DATE 
         
   
  ______________________________________ ____________________________ __________________  _____________
  ARCHITECT / ENGINEER (Block Letters)  SIGNATURE  ID NUMBER  DATE 
         
 
For PA Office Use Only

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