Application worksheet
A printable version of Timaru District Council - Heritage Protection Fund's application questions, extracted from their official form. Use it to plan your answers - then submit through the funder's real form.
View the original PDF →Application worksheet
Application for Funding from the Heritage Protection Budget
Timaru District Council - Heritage Protection Fund
This worksheet mirrors the questions on the funder's official application form. It is NOT the official form. Submit your final answers through https://www.timaru.govt.nz/community/community-and-culture/community-funding/built-heritage-protection-fund.
I/We, the owners of a building situated at [address], being a building identified in the District Plan as having heritage value, seek financial assistance with the maintenance and preservation of this building.
1. Building Details
Names of applicants*
Building address*
Rateable value of the building*
2. Planned Works
Planned improvements to the building comprise the following works*
Estimated to incur costs of*
I/We have or intend to apply for a resource consent in respect of this project*
3. Building Use and Assessment
The use or intended use of the building is*
Structural integrity and heritage value assessments have been made by*
and accompany this application
4. Specific Assistance Sought
I/We seek specific assistance with the following work*
The estimated value of this work has been assessed as*
5. Applicant Details
Phone*
Email*
Postal Address*
6. Declaration and Signature
Signed*
Owner(s) and Applicant(s)
Documents to attach
- Structural integrity and heritage value assessments
Declarations
- I confirm that, any funding allocated by Council, will be expended on the work indicated.
- Paid invoices, confirming expenditure of the allocated sum on the authorised work, will be submitted to Council prior to any payment being made.
Signature
Date
Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.