Street numbering application form

S TREET NUMBERING APPLICATION FORM

The cost of changing a house number is as per Council's Fees and Charges (non refundable).

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

Surname *

First Name *

Address *

Suburb *

Postcode *

Phone (h):

Phone (w):

Phone (m): *

Email *

Company sealWhere owner is a company or owner's corp. a Seal and/or ACN and ABN must be provided

ACN:Where owner is a company or owner's corp. a Seal and/or ACN and ABN must be provided

ABNWhere owner is a company or owner's corp. a Seal and/or ACN and ABN must be provided

House no: *

Street: *

Suburb: *

Postcode: *

Unit no: *

DP No *

Lot No *

Vol/Folio

Strata Plan No. *

Please provide a list of lot numbers, including proposed new addresses: *

Browse

Please provide reason for address change *

Applicant Signature *

Draw signature|Type signatureClear

Date signed *