Form for the Application for Approval for Rural subdivision (Rural Lands) Order 2014 (No. 160 of 2014)

REPUBLIC OF VANUATU LAND REFORM ACT [CAP 123] Form for the Application for Approval for Rural Subdivision (Rural Lands) Order No.\bO of2014 In exercise of the powers conferred on me by subsection 20(1) of the Land Refonn Act [CAP 1231. I, the Honourable RALPH REGENV ANU, Minister of Lands and Natural Resources, make the following Order. 1 Form for tbe Application for Approval for Rural Subdivision (Rural Lands) Fonn for the Application for Approval for Rural Subdivision (Rural Lands) is set out in the Schedule. 2 Commencement This Order commences on the day on which it is made. Made at Port Vila tbis Z'2- ",4 day of Honourable Minister of Lands and N4,tu,in Application/or Approvalfor Rural Subdivision (Rural Lands) Order No. l~ 0/2014 I " SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM? SKEDUL APLIKEISEN BLONG APRUVOL RUROL SABDIVISEN RUROL APLIKEISEN FOM DOL FOM 7 DIPATMEN BLONG LAN, LAN SEVEI MO LAN RIKOD Praevet Mel Bag 9090, Port Vila, Vanuatu Telefon: (678) 22892/5334540 r-------------------------------------------------------------------------I : APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN : I I (Yu lIlas gat ova long 18 yin bfong aplae frolll wan rurol sabdivisen) : 1 ----------------------------------------------- ~ •• YU MAS GIVIM 2 KOPI BLONG APLIKEISEN FOM IA LONG DIPATMEN" PART IA BLONG IlU'ATMEN NOMO BLONG YlJSlJM Aplikeisen Namba: I Oli pem evri Fi: Yes I No Hu i risivim Aplikeisen: Amaon we ali pem: Deit we ali risivim: Risit No.: LMPC DB!D: I APLIKEN I MAS FULUMAP PART IA [ATAJEM BIHAEN OL NARAFALA INFOMESEN WE YU WANTEM GIVIM LONG APLIKEISEN) (*fMPOTEN NOTIS: GA VMAN f NO SA VE RfFANDEM OL Ff SLONG APLlKEfSEN fA ') la. 01 Ditel blong Apliken (Sapos wan man) Nem: Famili Nem: Wok: I Adres: Telefon Namba: I Email: I Fax Namba: Nasonaliti: I Wanem kaen sitisen?: Vanuatu Sitisen / No Vanuatu Sitisen (markem wan) Page 1 of 12 ., SkEDUL APLIKEISEN BLONG APRUVOL BLONG RURaL SABDIVISBN FORM 7 ClIP SItisen: Yes / No ClIP Pemit No: (markem wan) (Atafem kapi blang Permit) Ekspatriet Residen: Yes / Na Residens Pemit No: (markem wan) (Atajem kapi blang Permit) VIPA Setifiket No: Deit we oli isium: (Atafem kal'i blang Setifiket) Ovasi Residen: Yes / Na Kaontri blong Residens: (markem wan) Deit we ali isium: Deit we oli isium: Blang hamas yia? Blong hamas yia? 01 nara lis we Apliken i holem I stap (Raetem Lis Taetal Namba ma Atafem al kapi blang Advaes blang Registresen blang lis): 1b. 01 Ditel blong 01 narafala Apliken (putum infomesen blong eni narafala man we hem tu i stap aplae blong apl'Uvol ia) Nem: Famili Nem: Wok: I Adres: Telefon Namba: I Email: I Fax Namba: Nasonaliti: I Wanem kaen sitisen?: Vanuatu Sitisen / No Vanuatu Sitisen (markem wan) ClIP Sitisen: Yes / No ClIP Pemit No: Deitwe oli isium: (markem wan) (Atafem kapi blang Permit) Ekspatriet Residen: Yes / Na Residens Pemit No: Deit we ali isium: Blang hamas yia? (markem wan) (Atafem kapi blang Permit) VIPA Setifiket No: Deit we ali isium: Blong hamas yia? (Atafem kapi blang Setifiket) Ovasi Residen: Yes / No Kaontri blang Residens: (markem wan) 01 nara lis we Apliken I holem I stap (Raetem Lis Taetal Namba ma Atafem al kapi blang Advaes blang Registresen blong lis): Page 2 of 12 S'KEDUL APLIKEISEN BLONG APRUVOL BLONG RURaL SABDlVISEN FORM 7 le. Ditel blong Apliken (Sapos wan Kampani 0 Oganaesesen) Ligol Nem/ Nem we oli Registerem (fulwan): Treiding Nem (Sapos oli yusum): Post Ofis Adres: Telefon Namba: I Email: I Fax Namba: Kaontri blong Registresen: (Atajem Reyistresen SetiJ1ket mo 01 Atikol blony Asosiesen) VIPA Setiflket No: Bisnis Laesens No: (Atajem kopl blonySetiJ1ket) (Atajem kopl blony Laesens) Nem rno Adres blong man we hemi risponsibol olsem Daerekta blong Kampani rno man we hemi higfala Sheaholda: Eria blong taetol (m'/ha): [**Yu mas atajem Seve; / Taetol Plan blong Hed Lis wetem aplikesen ia}. Tokbaot smol "topography" blong graon we taetol i kavremap. Oli stap yusum graon la blong wanem naDia? I gat wanem kaen haas rno narafala bilding 015 em "physical improvement" long lis taetol? Wanem nao hemi zoning blong taetol la folem Fisikol Planing? Wanem hemi deit we lis I bin stat long hem? (del / manis / yia)? Page 3 of 12 • SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM? 3. Propos Sabdivisen Naoia lis hemi wanem Kaen Lis? (markem wan) o Residensol o Komesol o Agrikalja o o o lndastriol Spesal (Talem wanem stret) Narawan (Talem wanem stret) Wanem hemi pepos 0 mein tingting bihaen long propos Sabdivisen? Bae propos Sabdivisen hemi alsem wan em? Tokbaot plan blong hem, hamas plot, rod i alsem waneml etc Wan em pablik spes bae i gat lang sabdivisen? Takbaat wanem plan yu gat blang skul, helt fasiliti, sparts fil, al grin spes, al narafala spes blang pablik. Wan em hemi propos drainej sistem? Hao bae yu drenemaot wota long propos Sabdivisen? Hao bae yu mekem se elektrisiti rno wota saplae i kam insaed long propos Sabdivisen? Page 4 of 12 SKEDUL APLIKElSEN BLONG APRUVOL BLONG RURaL SABDIVISEN FORM 7 Yu gat wan tingting blong hao bae yu karemaot 01 doti long propos Sabdivisen? Plis talemaot. Propos Sabdlvisen ia i folem Fislkol Planing blong eria ia? Yes / No (markem wan) I gat eni nara divelopmen permtt 0 pemisen we yu aplae from finis? Wanem nao propos valiu blong propos Sabdivisen (givim wan "estimate" blong hamas bae i kostem blong mekem propos Sabdlvisen)? Hao nao bae yu karem mane blong fandem propos Sabdivisen(mane bae i kam weal? PUs talemaot evrl narafala divelopmen we yu bin mekem 0 yu bin part blong mekem long Vanuatu. PUs givim evidens (olsem leta blong Bank) we I soemaot se yu gat wan gudfala nem long bisnls. 4. 01 man we oli gat graonlong saed-saed blong graon we yu stap aplae from (01 "neighbour") Wanem nao 01 efekt we bae propos Sabdivisen i save gat long 01 neighbour blong yu (01 man we oU gat graon long saed-saed blong graon ia)? Page 5 of 12 SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM 7 Wanem nao 01 nem mo kontakt blong 01 neighbour blong yu we bae divelopmen ia i save afektem olgeta? I gat eni existing "right of way" 0 rod blong wokbaot 0 rod blong trak we i pas thru long graon ia? Graon fa i stap long saed blong solwora 0 riva? 5. Benefit long 01 kastom ona Nem, telefon namba rno adres blong 01 kastom ena 0 01 Lessor. Hao bae 01 kastom ena eli gat part 0 patisipesen insaed long propos Sabdivisen (yu stap wantem mekem joen ventja 0 samting olsem)? Wanem benefit bae kastom ena i save kasem (sapos i gat)? Tokbaot eni wok we bae 01 kastom Qna i save karem 0 eni narafala benefit we bae eli save kasem aot long propos Sabdivisen. Wanem eli samting we 01 kastom ena i save lusum 0 i save harem nogud from sipos i gat Sabdivlsen? Page 60'12 SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM 7 6. Pablik Wanem nao 01 efekt (01 gud wan mo 01 rabls wan) we propos Sabdlvlsen la bae i save mekem long Pablik? Tokbaot akses blong pablik long solwora 0 rlva. akses long rod blong wokbaot 0 rod blong trak. sipos bae dlvelopmen i save spoelem garen. hao bae yu karemaot 01 doti blong toelet 7. Kaljorolo Historilwl PIes 0 Bilding I gat enl pies 0 bUdlng long graon we I impoten long saed blong kastom, kalja 0 histrl? Sapos I gat, wanem plan blong yu blong protektem 01 pies 0 bilding ia? 8. Ollsiu long saed blong Envaeraenl11en 1110 Geo Hazard I gat eni tabu eria, konsevesen eria 0 eria blong sensitiv eko-sistem, endemik spesis 0 bio-daevaesiti long graon 0 kolosap long graon? Graon ia I gat risk long 01 efekt blong klaemet jens olsem level blong solwora we I kam antap, flad blong rlva, 0 Ian slaed etc.? Page 70(12 SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM 7 Graon ia i gat risk long 01 efekt blong 01 natural disasta olsem 01 volkenu, allan slaed, etc.? STETMEN BLONG APLIKEN Mi/Mifala apliken i diklerem se 01 infomeisen we mi/mifala i fulumap antap ia oli tru long save blong mi/mifala, mo tu se mi/mifala i givim evri infomesen we i nid blong givim blong Land Manejmen Planing Komiti blong hemi save mekem wan stret mo gudfala disisen long aplikesen ia. Saen Deit Witnes •• WONING" Sipos Komiti i luk se eni infomeisen we yu putum long aplikesen blong yu i giaman 0 i no talem stret toktok, bae Komiti i no save apruvum aplikeisen blong yu. Page8of12 SKEDUL APLIKEISEN BLONG APRUVOL BLONG RURaL SABDlVISEN FORM 1 KaMEN SLaNG SAM OFIS SLaNG GAVMAN AGRIKALIA, FISHBRIES rno FORESTRI DlPATMEN: 01 Komen mo Rikornendeisen Enl agrlkalja, fisheries 0 forestrl plan we dlpatmen I gat ova long erla la? Nem blong OOsa we t fululnap Jeklll'lt: """"'" ....... """ .... ,,, ... ,,,, ... ,, .... ,, .. ,, ..... ,"",, .. ,,, ......... ', ... ,,.,,',,.,,,,'"" .. ,'"." ..... Olsem Ofisa we I reprlsentem Dlpatmen la, ml stap diklerem se taern mi mekem wok blong mekem 01 kamen rno rlkomendeisen blong mi long pies la, ml stap mekem evrl samtlng we ml shud mekem long saed blong 01 admlnistretlv, faenansol mo IIgal rikwaemen blong Dlpatmen, rno tu ml stap folem evrlloa blong Vanuatu, rno tu mi no rnekem enl samting we I no stret. OOsa i saen; ... " ..... " ..... "" ....... "" .. " ............ " .. "',', ........ " .... " ... " .......... ,,,""""" ........ " .. .. (PI/tum stamp blong Dipatment) ENVAHRENMHN DlPATMHN: 01 Komen/Rikomendeisen Graon rna pies we hem I stap long hem I gat enl envael'aenmentol tsiu1 Nern blong Onsa we t fulurnap Jeklist: .... " .... '" ..... """"'''''''" .. "''"'''''" .... " .. " .. " ....... "''',,.,,'',, ..... ,,''',, .. '''', .. " .. ,"'" OIsem Onsa we i reprisentem Dipatmen la, mi stap diklerem se taem ml mekern wok blong mekem 01 komen mo rlkomendelsen blong rni long pies ia. ml stap mekem evri samtlng we mt shud rnekem long saed blong 01 administretiv, facnansol mo IIgol rlkwaemen blong Dipatmen, rno tu ml stap folem evri loa blong Vanuatu, rno tu ml no mekem enl samtlng we i no stret, Onsa i saen: ,,, .... ,, .... "', .. ,,,,,,.,,"",, ... ,, .... ,,, .. ,,"''',, ...... ,, .. ,,''',,,, .. ,, .. ,, ... ,,,, .. ,,'''',, .. ,, .. " .... ,,' (Putum stamp blong Diputmeut) Page 9 0(12 SKEDUL APLIKEISEN BLONG APRUVOL BLONG RURaL SABDIVISEN FORM 1 GEO·HAZARD DIPATMBN: or Komen!Rlkomendelsen Graon mo pies we heml stap,long hem i gat risk long sea-level rise, flooding 0 narafAla disasta? Nem blong Oflsa we t fululnap ,ek1tst: ..... """, ..... " ... , .... , ...... ""' ..... " .. , .... "'" .. ,, .. ,,""",,''',, .... ,,'',,.,,''''''',,''"" ... ,,"" Oisem onsa we I reprlsentem Dlpatmen Ia, ml stap dlklerem se taem mt mekem wok blong mekem 01 kamen mo rlkomendeisen blong mi long pies ia, ml stap mekem evrl samting we ml shud mekem long saed blong 01 admlnlstretlv, faenansol mo IIgal rlkwaemen blong Dlpatmen, rno tu m! stap falem evri loa blong Vanuatu, mo tu m\ no mekem eni samtlng we I no stret. Oflsa I saen: ................ " ........ """" .. ,,, ....... ,,, ............... ,,, .... ,, ....................... """'" ... "'" .. . (PI/tum stamp b/ong Dipatment) GEOLOGY mo MINES DIPATMEN: 01 Komen!Rikomendelsen I gat enl quarry longerla la 0 enl narafala isiu long saed blong minerals? Nem bJong Onsa we t fulumap Jekllst; Olsem DOsa we i repl'isentem Dipatmen la, ml stap diklerem se taem mi mekem wok blong mekem 01 kamen rno rikomendelsen blong mi long pies ia, ml stap mekem evrl samting we m! shud mekem long saed blong 01 administretiv, faenansol rno Jlgol rikwaemen bJong Dipatmen, mo tu ml stap folem evrlloa bJong Vanuatu, mo tu ml no mekem enl samtlng we t no stret. ansa I saen: """""" .... " .. ,,, ............ ,,,, ........... ,, .. ,,, ... ,,''''',, ................ ,'',, .... ,, .. ,,, ...... ,, ... ,,,. (Putum stamp blong Dfpatment) Paga100'12 'SKEDUL APLIKEISEN BLONG APRUVOL BLONG RUROL SABDIVISEN FORM? PLANA BLONG MINISTRI BLONG INTENOL AHA: 01 Komen/Rlkomendelsen Konfemesen se graon heml stap anda long wan Fisikol Plan eria? Aplikelsen la hemi nidlm en! dlvelopmen pemlt 0 laesens? Nem bJong Onsa we i fulumap JekUst: ........ ,,, .. ,,",, .. ,',, ...... ,,,, ... ,,,, ..... ,,"''''',, ... ,,, .. ,, ... ,, .. ,, ....................... " ........... , .. alsem anSi! we i reprlsentem Dlpatmen la, m! stap dlklerem se taem m! mekem wok blong mekem oj kamen rno rikomendeisen blong mi long pies ia, m! stap mekem evrl samting we m! shud mekem long saed bJong 01 administretlv, faenansol mo Ugol rlkwaemen blong Dipatmen, rno tu mi stap falem evrlloa bJong Vanuatu, rno tu ml no mekem enl samtlng we i no stret. ansa I saen: ... " .. """ .... ", .. """ ....... ", ...... "" ............. " ...... ,, .. ,,', ........... ,,, .. , ..... , .... " ... ,,", .. (Putum stamp blong Dfpatment) LAN mo SEVEI DIPATMEN: 01 Komen/Rlkomendelsen Saes blong Ian taetol heml mltlm rlkua saes blong propos nlufala Kaen Lls7 Yu luk se valuesen blong graon hemi rlflektem stret vallu blong graon? I gat enllslujmlstek we hemi afektem taetol blong graon la7 Nem bleng ansa we I fulumap Jeklist: OIsem Onsa we i reprlsentem Dlpatmen la, ml stap dlklerem se taem ml mekem wok blong mekem 01 komen mo rlkomendelsen blong rnl10ng pies la, 011 stap mekem evrl samting we mi shud mekem long saed blong 01 admlnlstretiv, faenansol mo Iigol rlkwaemen blong Dlpatmen, rna tu m! stap folem evrlloa blong Vanuatu, rna tu ml no mekem eni samting we I no stret. onsa I saen: ., .... " .. """'''''''"" .. "''''''" ..... ''" ....... ", .. ,'''''" ... ,, .. ,,''''''', .. ,, .... , .. ,," .. ,,""'''''''' (Plltum stamp blollD Dipatmellt) Page 11 of 12 I SKEDUL APLIKEISEN BLONG APRUVOL BLONG RURaL SABDIVISEN FORM 7 PLANA BLONG PROVINS: 01 Komen/RlkomendeIsen Taetol blong graon I stap insaed long eni Fislkol Plan erla1 I gat enllslu we hemi afektem erla we graon i stap long hem1 Nem blong Ofisa we t fulumap Jekllst: .... " ... "' .... ", ........ """" ..... " ........ ""''''''''''''''''''" ..... , .. '" .. ,, .... ,,'''''',, ..... "" .. " Olsem Onsa we I reprisentem Dlpatmen la, ml stap diklercm se taem mi mekem wok blong mekem 01 komen rno rikomendelsen blong mi long pies la, ml stap mekem evrl samtlng we ml shud mekem long saed blong 01 admlnlstretlv. faenansol rno IIg01 rlkwaemen blong Dlpatmen. rno tu mt stap folem evri loa blong Vanuatu, rno tu rut no mekem enl samting we i no stret, ansa i saen: .. ,"" .............. ", ........... " ...... " .. ,,, ..... , ... ,, ....... ,,,, .. ,'''',, .... , ... "'''''" .. "''''''''''',,. (PI/tum stamp blong Dipatment) VANUATU KALJOROL SHNTA: 01 Komen/Rlkomendeisen I gat enl kalJorol/hlstorlkol sat long erla 0 taetol blong graon? Ditel blong kalJorol/hlstorlkol saet sapos I gat. Nem blong onsa we I rulumap ,ekllst: ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,'"'''''' OIsem Ofisa we I reprisentem Dlpatmen la, ml stap d!klerem se tacm m! mekem wok blong mekem 01 komen mo rikomendelsen blong mi long pies la, ml stap mekem evrl samtlng we ml shud mekem long saed blong 01 administretlv, faenansol mo Iigol rikwaemen blong Dipatmen, mo tu mi stap folem evri loa blong Vanuatu, mo tu mi no mekem enl samtlng we i no stret. Ofisa i saen: """"""""'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' .. " .. " .. " ...... (Putum stamp blong Dipatment) Page 12 0(12