subject_line
Application for Private Works
Applicant/Owners Details
Applicants Name
*
Contact Person
*
Current Postal Address
*
Email Address
*
Contact Telephone Number
*
Street Address (where work is to be undertaken)
*
Tenancy Details
*
Leased
Owned
Application Fee - required to be paid to process Application
$200.00
Fee applicable for 2024-25 Financial Year
Where a local contractor is capable and available to carry out the work, quotations have been sought?
*
Yes
No
N/A
Description of Activity
Proposed Date/s of works to be undertaken from
*
+
To
*
+
Type of Works
*
Construct Residential Driveway
Construct Commercial Driveway
Construct/Repair Footpath
Construct Kerb & Channel
Street Sweeping
Pothole Patching
Line Marking
Reinstate Roadway
Other
Further Information
0/200 words
Landowners Consent
Landowners Consent: Name
*
ACN (if Applicable)
Company Name
I confirm the above information is correct, and I consent to the Application for Private Works being addressed by Council
Enter the word in the image
*
Date
*
+