APPLICATION TO ACCESS THROUGH OR OCCUPY PUBLIC SPACE

About this application:

This application is to seek permission to access or occupy public space which includes road reserve, footpath,nature strip, park reserves, public open space and other Council owned land.
This application may take up to fifteen (15) days, expectation approximately five (5) days except in difficult matters for assessment and processing. The applicant must allow for this in planning any works.
This application is not an automatic approval. Your application will be assessed to determine whether conditional approval may be granted. Written advice will be forwarded to the Applicant upon successful application. If an application is refused, the applicant will be notified in writing.
For access through park reserves, public space or other Council owned or managed land; approval will only be given in writing. No access shall be permitted until formal notification is received by the applicant.

The fees for this application are as per Council's Fees & Charges.

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

Application details

Application Type *

Road Reserve/FootpathAccess through public open space, park reserve

What is the approximate area of occupation? *sqm

What is the occupation fee per week? *$18.00 per sqm

Please advise the number of weeks of occupation: *Rounded to the nearest week

Is an urgency fee required? *

YesNo

In addition to the application fee, an urgency fee can be paid for applications to be returned within 3 working days. The fee is as per Council's Fees & Charges.

What is the number of weeks of occupation? *Rounded to the nearest week (Weekly fees as per Council's Fees & Charges)

Is this an extension of a previously approved application? *

YesNo

For an extension of this application you will be required to pay an application and occupation fee.

Approval/reference no: *

Purpose of occupation: *Briefly describe the main reason for access through or occupation of public space

Period of occupation or access:

Date(s) from: *

Date(s) to: *

Time(s) from: *(am/pm)

Time(s) to: *(am/pm)

Permitted hours of activity are:
Between 7am to 5pm, Monday to Saturday.
No work on Sundays or public holidays.
LOW NOISE ACTIVITIES ONLY on weekends.

Applicant Details

Surname *

First Name *

Company name:

Email address: *

Contact number: *

Mailing address *

Suburb *

Postcode *

Location of the public space that is to be accessed/ occupied

Location Address: *

Location Suburb: *

Location Postcode: *

Development details

Is there a current Development Application (DA) or Complying Development Certificate (CDC) associated with the property? *

YesNo

DA/CDC number: *

Date DA /CDC lodged: *

Equipment/Machinery

Provide a description of all the equipment, machinery and materials that are to be utilised for access, work or to be stored as part of this application: *

Documentation required

Dilapidation Report

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This is to record the condition of the existing area to be occupied and to be used as a record to check if damage to the area has occurred following occupation or access. For occupation of roads and footpaths only, a standard Driveway and Footpath Pre-Commencement Damage. Report application form can be used for this purpose. The Pre-Commencement Damage Report application form can be obtained from Customer Service or downloaded from Council's website. No charge for the Pre-Commencement Damage Report application form if used in combination with this application.

Traffic Control Management Plan and/ or Pedestrian Management Plan *

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Showing signage, barricades, fencing. Submission of a Traffic Management Plan where occupation is placed on a roadway, designed and certified by an RTA accredited person (Red Card holder). NB: Any applications for occupation of an RTA (main) road, require submission to and approval by the Roads and Traffic Authority of NSW.

Letter of approval from RTA

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If applicable

Detailed diagram clearly showing the location of the public space to access/ occupy *

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Showing details of properties, boundaries, utility services and kerb and gutter or other features.

Public Liability Insurance *

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($20,000,000 minimum)

Applicant declaration

I declare that I have supplied all required documentation, in order to prevent delays in the processing of my/this application. I agree to the payment of fees, charges and security deposit (of up to $10,000 that may be required for access through public open space or park reserve).

Once signed and dated, continue to Page 2 to complete Damage Deposit / Bond Application.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

DAMAGE DEPOSIT / BOND APPLICATION FORM

Use this form when making payment for a damage deposit or bond

Property Details

Property Address: *

Lot:

DP:

SP:

Details of payer (to whom the future refund will be released)

Company Name (if applicable)

Surname of Payer *

First name of Payer *

Email of Payer *

Contact phone number of Payer *

Postal Address:

Refund method

I wish to nominate the following method of refund: *

ChequeBank direct deposit/transferCredit Card* (Not available for all refunds)

* Refund to the same credit card is the default method available only for damage deposit/bonds paid via Council’s eServices online portal. The card must be valid and current at the time of refund.

Bank account details for refund (if applicable)

EFT account name

BSB number

Account number

1. I hereby state that the above information is true and correct;

2. I am the person responsible for making this damage deposit/bond payment and am the authorised person to receive the refund;

3. I will advise the City of Canada Bay Council of any changes to my address; bank account; or credit card, and understand that failure to update these details may delay payment of the refund at a later date.

Declaration

Signature *

Draw signature|Type signatureClear

Date *

Rams

(For Internal Use Only)

OccPubLApp, OccPubLnd, OccPubRes, OccPubLUrg