An Application Is Proposed to Be Made for (Please Ü)

Request for consent of Council as land owner or Public Land Manager to the submission of an application for planning permit, building permit or planning scheme amendment

Consent of Council as land owner or Public Land Manager is required before undertaking buildings and works on Council Land.

Please fill out this form and submit it to Council’s Manager Property and Governance prior to the submission of your planning permit application, planning scheme amendment or building permit application (where required). Council’s City Development Branch can assist with advice as required.

An application is proposed to be made for (please ü):

A Planning Permit / Certification of a Plan
A Building Permit / Other:
A Planning Scheme Amendment

Consent of the Public Land Manager is required because (please ü):

The land is zoned PUZ6 and the applicant is not the Public Land Manager
The land is zoned PPRZ and the applicant is not the Public Land Manager
The land is zoned PPRZ or PUZ6 and Council is the applicant
Other:

Consent of the land owner is required because (please ü):

The land is owned or managed by Council
Address / What is the address of the property
* see Councils Property Services Branch for an accurate property description
Brief summary of works or use / What is being done that requires a planning permit or planning scheme amendment?
Applicant contact details / Name, mailing address, phone number as appropriate.
Applicant email address*

* Please note that information associated with this request for consent might be provided electronically and unless otherwise stated, Council takes the completion of this form as consent to use electronic communication. Further Council may use your electronic details for other Council communication.

Upon receipt of this application Council will consider the issue and provide a written response. In the event that consent is granted, Council’s response to this application should be provided when the Planning Permit, Building Permit or Planning Scheme Amendment application is made.

For further information please contact the Manager Property and Governance on 9240 2440.

Office use only

Status of land / What is the status of the land? Does Council own it? Is it Crown land managed by Council?
Council owned land
Council decisions / Has this matter been reported to Council? What date? Was the decision a final decision or in principle? Will a future Council decision be required?
Councillor briefing / Have any Councillors been briefed or informed of the proposal?
Issues / What issues should Council be aware of in consenting to the application for a planning permit?

Consent of Public Land Manager granted

Name: ______

Position: ______

Signature: ______

Date: ______

Page 1 of 2 TRIM D10/264557 Last Updated: 22 March 2017