Line Marking Perpendicular to Driveways Application Form

LINE MARKING PERPENDICULAR TO DRIVEWAYS

APPLICATION FORM

Please note:

Future maintenance of the lines, if required, will only be carried out if the applicant funds the cost of maintenance at that time.
These lines in and of themselves are not enforceable and only serve to highlight the presence of a driveway.

Installation Fee - as per Council's Fees & Charges.

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

Surname *

First Name *

Email *

Contact number: *

Address *

Postcode *

Site Address: *

Site postcode: *

What road is your driveway located on? *

Do you have a second driveway to be linemarked? *

Yes No

What road is your secondary driveway located on? *

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

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

Rams - RDApproval

(For Internal Use Only)

DwayLines