Municipal Heritage Inventory - Application for Deletion Form

Contact Details

Name*

Address*

Telephone

Email Address*

The Place to be considered for Deletion

Name of Place (if any)

Address / Location*

Suburb*

Supporting Evidence

With reference to the Place Record Form for the subject place, on what grounds do you think that it should be considered for deletion from the MHI (in your opinion)? (e.g. Inaccurate statement of significance provided, unrecognised alterations and addition as to the existing significant fabric, inaccurate physical description, inaccurate historical background etc)*

References (e.g. books, historical photographs, certificate of title, maps, sewerage plans, postal directory, correspondence, newspaper articles etc)

Other Comments

Please upload any related documents/photographs (if more than one is necessary you can compress these into a zip file.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image

Was this page helpful?

Optional message

Municipal Heritage Inventory - Application for Deletion Form

Vincent news to your inbox