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

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