Online Form - Planning Application - Community Consultation

Serial No: *

Contact Officer: *

Personal Information

Name(s): *

Affected address: *

Postal address (if different from the above):

Telephone: *

Email: *

Date: *

Please select the appropriate response: *

I support the proposal
I object to the proposal
I neither support or object however, I have some concerns I wish to address

Further Comments: Just type your comments into the box – or if they are long, feel free to write these in Microsoft Word or a similar, text editing program (even within the body of an email), then paste it in. You can also upload a document, such as a Microsoft Word or PDF file, further below).

Comments:

PLEASE NOTE: In accordance with the City of Vincent privacy management Policy No: 4.1.31, your personal information will not be disclosed, made public or included in any agenda report, unless your consent is provided. If you agree, please indicate in the box below.

I AGREE

Yes

I am: *

an owner / occupier
an owner
an occupier

Please Note:

The Serial No. and Contact Officer can be found within the documents linked at the top of this page.

If you need further information on this process please contact the City on 9205 6000 or email mail@vincent.wa.gov.au

If you prefer, you can supply your comments in Word format and upload. Please remember to state the Planning Elements & Applicable Rule with your comments: