Applicant Details
Name
*
Email Address
*
Address
*
Contact No.
*
The Applicant is:
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A Contractor
A Property Owner
Other
Other (Please advise)
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Proposed Works
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Location of Works
*
Permit Details
Please choose type of permit required:
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Occupy Road, Reserve or Council Land
Building Construction
Road Opening
Vehicle Crossing
Road Opening (Start Date)
*
Road Opening (End Date)
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Choose Vehicle Crossing Type
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Construct New Crossing
Replace Existing Crossing
Construct Additional Crossing
Widen Existing Crossing
Special Conditions/Comments
Payment and Acknowledgement
I agree to the
terms and conditions
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Terms and conditions
Permit Payment
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