Swimming Pool Fencing Certificate of Compliance Application Form

SWIMMING POOL FENCING CERTIFICATE OF COMPLIANCE APPLICATION FORM

Fees & Charges are as per Council's Fees & Charges.

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

Property Details

Property details:

Sale of property Lease

Please tick if applicable

Unit no:

House no: *

Street: *

Suburb: *

Postcode: *

Lot No

DP/SP

Owner / Applicant's details

Surname *

First Name *

Email *

Phone Number: *

Mailing Address *

Suburb *

Postcode *

Site contact (To arrange access for inspection)

Site contact surname: *

Site contact firstname: *

Site contact email: *

Site contact contact: *

New or desired address of the property

NOTE:
a. The applicant is entitled to appeal to the Land and Environment Court against the local authority's refusal of application; and
b. The local authority's failure to determine the application within six weeks after it is made is taken for the purposes of any such appeal, to be a refusal of application.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

Certs

(For Internal Use Only)

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