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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Town Planning Scheme Amendments - Form No.4

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