Online Form - Town Planning Scheme Amendments - Form No.4

SUBMISSION ON

Planning Scheme / Scheme Amendment Number

Name

Address

Email Address

SUBJECT OF SUBMISSION (State how your interests are affected, whether as a private citizen, on behalf of a company or other organisation, or as an owner or occupier of property)

ADDRESS OF PROPERTY AFFECTED BY SCHEME (if applicable - Include lot number and nearest street intersection)

SUBMISSION (Give in full your comments and any arguments supporting your comments)

I confirm I am a resident of the above address and all information is true and correct

I Agree

Please type the code shown in the image (case sensitive):