An Bord Pleanála Application Form for Permission/Approval in respect of a Strategic Infrastructure Development 1. Please specify the statutory provision Section 37E of the Planning under which your application is being and Development Acts made: 2000 - 2015 2. Applicant: Name of Applicant: National Paediatric Hospital Development Board Address: Hospital 7, St. James’s Hospital Campus, James’s Street, Dublin 8. Telephone No: (01) 428 4290 Email Address (if any):
[email protected] Fax Number (if any): N/A http://surfbord/sites/sidslaps/SIDS Documents/Application Form.doc 3. Where Applicant is a company (registered under the companies Acts: Note: The NPHDB was established by order of the Minister for Health and Children in May 2007 (The National Paediatric Hospital Development Board (Establishment) Order, Statutory Instrument No. 246 of 2007). Names of (company director(s)): Board Members Mr Tom Costello (Chair), Mr Paul Quinn, Mr Brian Fitzgerald, Ms Anne Butler, Mr Karl Kent, Mr John Martin, Mr John Cole, Ms Marguerite Sayers, Mr Tim Bouchier Hayes, Prof Hilary Hoey, Mr Liam Woods Registered Address (of company) Hospital 7, St. James’s Hospital Campus, James’s Street, Dublin 8. Company Registration No.: Not Applicable Telephone No.: (01) 428 4290 Email Address (if any):
[email protected] Fax Number (if any): N/A 4. Person / Agent acting on behalf of the Applicant (if any): Name: Mr. Paul O’Neill Address: GVA Planning and Regeneration Ltd., 2nd Floor Seagrave House, 19-20 Earlsfort Terrace, Dublin 2. Telephone No. : (01) 6618500 Mobile No. (if any): N/A Email address (if any):
[email protected] Fax No.