Driveway Access Permit Application

Does this permit/application relate to a Development Application for building work on your land?

Yes

No

If yes, what is the Development Application Number?

E.g 100/2012/458. The application number can be found on your decision notification form

STREET TREES

Is there a street tree on Council verge within your property frontage?

If yes, please attach a photo of the frontage of your property including the street tree, which will be further assessed by Council's Arboriculture Officer. If the street tree is required to be removed, replaced or relocated, all amenity costs will be charged back to the Applicant. Please note that all relocation, removal, stump grinding and replacement planting will be organised by Council's Arboriculture Team upon payment of the invoice. Please note you are not permitted to undertake any of the above works yourself.

Yes

No

Attach Document

DETAILS OF PERSON APPLYING FOR THE PERMIT

Applicant First Name

Applicant Last Name

Postal address

Postcode

Phone Number

Email Address

(please note that the outcome of your Driveway Access Permit will be emailed to you within 15 business days)

ADDRESS OF PROPERTY WHERE WORK IS TO BE CARRIED OUT

Street No

Lot No

Street Name

Suburb

DRIVEWAY ACCESS LOCATION - PLAN OR DIAGRAM REQUIRED

The following must be provided on a detailed plan or diagram: (please attach a plan or diagram with the below details, an example of a diagram is shown on the webpage)

Property boundary/block
Proposed driveway access location within the property boundary/block, including the distance to the nearest side boundary
Proposed driveway access width
Proposed driveway access length
Include distances from the proposed driveway access to any street trees, stobie poles, side entry pits and utility service pits (for example, Telstra pits)

Attach Document

I have attached the required plan or diagram showing the requested measurements

PLEASE SELECT WHICH OF THE FOLLOWING YOU WISH TO CONSTRUCT/ALTER

Please tick which of the following you wish to construct/alter

Driveway Invert and Water table Only

Driveway Crossover Only

Driveway Invert, Water table and Crossover

PLEASE SELECT WHICH OF THE FOLLOWING MATERIAL YOU WISH TO CONSTRUCT YOUR DRIVEWAY CROSSOVER WITH’

Concrete

Heavy Duty Concrete

Paving

QUOTE

I request Council to provide a quotation for this work. (Note: Quotations will only be provided to established houses and new developments at the lock up stage of the build)

Yes

No

Do you have any additional comments or information?

APPLICANT:

I hereby apply for a permit to construct/alter a driveway access. I agree to abide by all conditions placed on the driveway access construction and acknowledge that I will be held responsible for any non-compliant works or any damage caused to the council assets during construction. I agree to reconstruct any damage or works that do not comply with the City of Marion’s specifications.

FULL NAME

DATE