Application for Approval of an Activity - S.68 Local Government Act v2.0

APPLICATION FOR APPROVAL OF AN ACTIVITY

S.68 LOCAL GOVERNMENT ACT, 1993

The fee for this applicaiton is as per Council's Fees & Charges.

Please note that payment of the application fee does not guarantee approval of the application. Your application will be assessed to determine whether approval will be granted. Written advice will be forwarded to the Applicant upon approval or refusal.

For further information or questions regarding this form, please contact Council via 9911 6555.

Applicants Details

Surname *

First Name *

Email *

Contact Number *

Address *

Postcode *

Activities

Please refer to the Activity Categories for descriptions.

Tick the appropriate section: *

Part A - Structures or places of public entertainmentPart B - Water supply, sewerage and storm water drainage workPart C - Management of wastePart D - Community LandPart E - Public RoadsPart F - Other Activities

Description of land to which the activity relates to

Street Address *

Postcode *

Lot(s)

SP/DP

Frontage

Depth

Proposal Activity

Please provide details *

Estimated cost of activity *Please enter a total value - for example, $250,000

Consent of Owner

Please ensure all property owners sign the owners consent.

Is the owner a company/strata company? *

YesNo

How many owners for this property? *

12345More than 5

Full Company Name *

Company Owner Signature *

Draw signature|Type signatureClear

Owner 1 Full Name *

Owner 1 Signature *

Draw signature|Type signatureClear

Owner 2 Full Name *

Owner 2 Signature *

Draw signature|Type signatureClear

Owner 3 Full Name *

Owner 3 Signature *

Draw signature|Type signatureClear

Owner 4 Full Name *

Owner 4 Signature *

Draw signature|Type signatureClear

Owner 5 Full Name *

Owner 5 Signature *

Draw signature|Type signatureClear

Please upload a letter of consent with ALL names/signatures of owners *

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Please upload a copy of your strata seal

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Other Considerations

Please select *

YesNoN/A

Is the site adjacent to residential properties?

YesNoN/A

Is the site contaminated? (if the site has a history of industrial use or has been filled, then Council will require a preliminary assessment of potential site contamination before determining an application)

YesNoN/A

Has provision been made for disabled access to the premises (eg. Provision of disabled toilets, parking ramps, Guidelines are available).

YesNoN/A

Does the proposal involve the demolition of all or part of existing building(s)?

YesNoN/A

If yes, has consideration been given to the conservation significance of such building(s)?

YesNoN/A

Has consideration been given to storm water drainage? If yes, a drainage concept plan is required with all applications for major works

YesNoN/A

Has the applicant consulted adjoining land-owners and residents about the proposal? (Note: This often allows an early resolution of any problems, but is not essential as Council will usually consult them independently)

YesNoN/A

Documentation

Please upload four sets of plans

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Please upload North point (true North) and scale

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Please upload site plan (scale not less than 1:200) *

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Please upload existing and proposed floor plans *

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Please upload a plan showing the proposed car parking layout, site exit/entry and loading/unloading facilities

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For Drainage Works, please submit Stormwater Management Plan with Certification

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A drainage concept plan is required with all applications for major works.

Section 82 - Objectives to application of regulations and local policies

Where the applicant wishes to depart from any Regulation to local policy, then a written statement must be lodged.This statement must indicate which regulation or policy is objected to and specify why compliance is unnecessary orunreasonable in the circumstances.

Do you wish to depart from any Regulation to local policy? *

YesNo

Please upload a written statement. *

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This statement must indicate which regulation or policy is objected to and specify why compliance is unnecessary or unreasonable in the circumstances.

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LocGovApp2, LocGovApp1