EApplication For Variation Or Discharge Of Conditions Attached To

e-application for variation or discharge of conditions attached to scheduled monument consent application form general data prote

e-Application for variation or discharge of conditions attached to
Scheduled Monument Consent
Application Form
General Data Protection Regulation 2016/679 and Data Protection Act
2018
Any Personal Data that you may be asked to provide on this form will
be held and processed in accordance with the General Data Protection
Regulation 2016/679 and Data Protection Act 2018. The information
provided by you and other relevant parties will be used for processing
and determining your application for scheduled monument consent, and
to confirm and update Historic Environment Scotland’s Owner-Occupier
records. This allows us to monitor the condition of scheduled
monuments, and notify you of any potential designation changes.
Your application will be processed by employees of Historic
Environment Scotland. Please see our website (www.historicenvironment.scot)
for our full Privacy Notice.
Applications will be available for public inspection and will be
published on the Historic Environment Scotland Decision Portal as
required by Regulation 7 and 8 of The Scheduled Monument Consent
Procedure (Scotland) Regulations 2015
http://portal.historicenvironment.scot
We will publish the application and relevant supplementary information
including your name, address and personal information about yourself
and others that you have submitted as part of the application. We will
not publish personal/sensitive information that is irrelevant to the
assessment of the application including your contact details.
You must advise Historic Environment Scotland if there are particular
reasons why you think any document, or part of document, you have
provided cannot be published.
1
Your Contact details
Tel
 
Mobile
 
Email
 
Do you agree to all your correspondence regarding your application
being sent by email?
Yes No
Checklist
You must submit the following documents:
Completed Application Form (Part A)
Completed Other Parties Notification Form (if you are not the owner of
the monument) (Part B)
Completed Ownership Certificate (Part C)
Plan or drawing sufficient to identify the area of land to which the
works relate
Other plans and drawings as are necessary to describe the works
Please tick here if you intend to submit any supporting documents by
post
Ancient Monuments and Archaeological Areas Act 1979
It is important that you read the accompanying guidance notes as
incorrect completion will delay the processing of your application.
You can complete and submit this form by email ([email protected])
or by post to Heritage Management Business Support, Historic
Environment Scotland, Longmore House, Salisbury Place, Edinburgh, EH9
1SH.
1
Applicant name and address
Title
 
First Name
 
Surname
 
Company / Organisation
 
Building No / Name
 
Street
 
 
Town / City
 
Postcode
 
2
Applicant’s interest in monument
Please specify
 
3
Monument to which application applies
Index no
 
Name
 
Local Authority
 
Grid Ref
 
Description of location of land
 
4
Details of original scheduled monument consent application
Application reference no.
 
Date of issue of consent
 
Description of the consented works as shown on the decision notice
5
Condition(s) to which this application relates:
1.
 
2.
3.
4.
6
Discharge of conditions (please provide a full description of why you
wish the condition to be discharged (removed) and list
anydocuments/details that are being submitted in relation to each
condition)
 
7
Variation of conditions (please fully state how you wish the
condition(s) to be varied and the reasons for the variation in
relation to each condition)
 
8
List of plans, drawings and other documents accompanying application
(continue on separate sheet if necessary)
No
Description
Reference
Document emailed
Document posted
1.
 
 
2.
 
 
3.
 
 
4.
 
 
5.
 
 
9
Other information relevant to application
 
10
Declaration
I hereby apply for the application discharge and/or variation of
conditions attached to scheduled monument consent as described in this
application and shown on the accompanying plans/drawings and
additional information.
I confirm that the information I have given on this form is true and
accurate.
Name
 
Date
 
On behalf of
 
Where an application is being dealt with by an agent to whom
correspondence should be sent, state the:
Name of Agent
 
Tel No
 
Address
 
Post Code
 
Historic Environment Scotland – Longmore House, Salisbury Place,
Edinburgh, EH9 1SH
Scottish Charity No. SC045925
VAT No. GB 221 8680 15