Public Notifications - Online Statement of Representation Form

This form is to be used in order to make a valid representation to Council regarding a development application currently on public notice, as shown on Council's public notification page.

Please note that for Category 2 applications, only owners and occupiers of adjacent land notified by Council are entitled to lodge a representation.

The following details must be supplied:

  • Name of representor (s),
  • Postal address,
  • Specific comments, and
  • Whether the person making the representation wishes to be heard by the Development Assessment Panel.

Please note that, pursuant to Section 38(8) of the Development Act, a copy of each representation received will be forwarded to the applicant for written response.

In considering the application, the Council will have regard to any representation made insofar as the representation relates to the provisions of the Development Plan.

Statement of Representation

* Mandatory Field

Development Details
Development Application Number*

Correct Development Application Number must be provided eg 100/2017/0050

Site Address Of The Proposed Development*

Site address must be provided in full e.g. 245 Sturt Road Sturt

Representors Name
First Name*
Last Name*
Representors Contact Details
Postal Address*

Please enter your postal address

Email Address

Please enter your email address so we may contact you if required

Email All Correspondence

Please tick this box if you wish for all future correspondence to be sent to your email address

Contact Mobile Number

Please provide your mobile number in case we need to contact you

Daytime Phone Number

Please enter your daytime phone number

Your Representation
Your Representation*

Please select your choice of support or against the application

Specific Comments
The specific comments I wish to make

Please enter any specific comments you may wish to make with regard to the above

Add Any Attachments

Please add any attachments here e.g. photos, letters of concern, reports etc - Please note only one file can be uploaded therefore please send all documents in one file.

Do You Wish To Be Heard by Council
Do you wish to be heard*

Please select - whether or not you wish to be heard by Council in respect to this submission

Name of Person Representing You

If you wish to be heard by Council and will be represented by another - please provide their name

If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.