Cardinia Shire Council Submission FormStrategic and Economic Development

20 Siding Avenue, Officer, Victoria 3809
PO Box 7, Pakenham, Victoria 3810
Telephone: 1300 787 624
ABN: 32 210 906 807

For Amendment C<enter number here>

Applicant’s name and contact details
Name and Surname: / Name and Surname /
Job title: / Job title /
Organisation name: / Organisation name /
Building/Property name: / Building/Property name (if applicable) /
Physical address: / Physical address /
Postal address: / Postal address /
Email address: / Email address /
Contact numbers / Landline: / Landline number / Mobile: / Mobile number /
As part of Council's commitment to sustainability, we actively work towards reducing paper usage and encourage electronic communication where possible.
IMPORTANT - Privacy statement
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act 1989. The personal information will be held securely and used solely by Council for these purposes and/or directly related purposes. Council may disclose this information to other organisations if required or permitted by legislation.
It is important to note, under the Planning and Environment Act 1987 (the Act) submissions to amendments are public documents and may be made available to any person for the purpose of consideration of the amendment. Section 21(2) of the Act states the planning authority must make a copy of every submission available at its office for any person to inspect during office hours free of charge until the end of two months after the amendment comes into operation or lapses.
The submitter understands that the personal information provided is for the above purpose and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and/or correction should be made to Council's Privacy Officer on 1300 787 624 or .
Submission
  1. Give reasons why you support or object to this amendment.

Enter text here /
  1. Are there any possible changes to the amendment that would address your concerns?

Enter text here /
  1. Provide further comment here.

Enter text here /
Signature
Signed by: Name and SurnameDate:Select date
Email to
Or post to:
Cardinia Shire Council
Policy, Design and Growth Area Planning
PO Box 7
Pakenham Vic 3810

Amendment C | | 1 of 3