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Form Development 09

Application for Construction/Alteration of a Driveway Access
Does this permit/application relate to a Development Application for building work on your land?
E.g 100/2012/458. The application number can be found on your decision notification form

STREET TREES

Does this permit application require the assessment of a street tree in relation to your driveway access?

DETAILS OF PERSON APPLYING FOR THE PERMIT

ADDRESS OF PROPERTY WHERE WORK IS TO BE CARRIED OUT 

DRIVEWAY ACCESS LOCATION

(Plan or diagram required)

To be approved, the following must be provided: (please indicate with a plan or diagram) - Proposed driveway access width, length and location, including distances to the nearest side boundary, trees, side entry pits, service pits and stobie poles - Alternatively, please supply a copy of the building site works plan, with proposed driveway dimensions and location clearly marked on it 

Please select which of the following you wish to construct/alter  
Please tick which of the following you wish to construct/alter
I intend to construct my crossover in the following materials:  

QUOTE

APPLICANT: