Customer Request Management Entry

Instructions

Please complete all relevant sections of the form

Please note:
Changing your email address with Council will update all Council email contacts including Rates and Water Notices via email.
Only one email address can be held for the owner of single or multiple properties.

Development Assessment Application

Description of Application *

Enter a brief description of your request

Applicant Details *

Customer

Name

Code

Surname *

Given Name * / Second Name

Contact Details

Postal address

Street address line 1 *

Street address line 2*

Street address line 3

Postcode *

Postal address if different from residential

Street address line 1 *

Street address line 2*

Street address line 3

Postcode *

Work phone

Home phone

Mobile phone

Email address *

Alternate phone

What is your preferred method of contact?

Not required

Telephone

Property *

Enter some or all of the property details below. If searching by street name, enter the street name only (e.g. Spence); do not include the street type or suffix (e.g. St, Road, Ave etc). Alternatively you can search by Lot or RP number. Then click the Search button to proceed to the property results screen where you can confirm the address.

Building Name

Unit No.

Level No.

House No.

Street Name

Suburb

Title Type

Title 1

Title 2

Title 3

Title 4

Title 5

Title 6

Attachments - Maximum of 3 *

Browse for an attachment to link to this application

Your reference number

What is the Development Type? (Required)

Will this development involve trunk infrastructure? (Required)

Please add further information if required

Please enter payment amount (Required)

Please re-confirm your email address (Required)

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