Surrender of a Consent or 'Existing use of right' Application Form

SURRENDER OF A CONSENT OR 'EXISTING USE RIGHT' APPLICATION FORM

Made under Section 4.63 of the Environmental Planning and Assessment Act 1979

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

Person authorised to operate consent

Company name: *

ABN/ACN: *

Name: *

Position: *

Unit no:

House no:

Street: *

Suburb: *

Postcode: *

Email: *

Phone Number: *Business Hours

Owners consent

Owners Consent (1) *

Browse

Please provide a signed document that provides consent with the following details: Company name, ABN/ACN, Name, position and phone.

Owners consent (2)

Browse

Please provide a signed document that provides consent with the following details: Company name, ABN/ACN, Name, position and phone.

If the subject property is part of a Strata Plan then this section must also be stamped with the Strata Seal(in addition to lot owners consent). Council will not accept or register the Application if the consent of all owners has not been provided.

Property Details

Unit No

House No

Address *

Postcode *

Suburb *

Site Contact number (1) *

Lot

DP

SP

Sec

Consent or right to be surrendered

Provide a brief description: *

Doucments required

The original copy of the development (DA) and/or construction (cc) consent conditions and all stamped plans must be returned with this form.

DA number: *

DA consent *

Browse

DA plans *

Browse

CC number:

CC Consent

Browse

CC plans

Browse

Has development commenced? *

Yes No

(If yes, additional information maybe required)

Applicant declaration

Being the owner of the land described above or the person authorised to operate the consent, I surrender the consent/ the right, as described above.

Note:

Council will respond to your request in writing once it is satisfied that the surrender is possible.
A refund of some fees paid may be possible and will be determined while processing this application.
If you change your mind after surrendering the consent you must lodge a new application for consent.
Please contact Council's Duty Planner (Monday to Friday 8.30am-1pm) by making an online bookingappointment if you require additional information before lodging this application

Applicant Signature *

Draw signature|Type signatureClear

Date signed *