MHI - Amendment of Category Form

Contact Details

Contact Details

Name*

Address

Telephone

Email Address*

The Place to be considered for Amendment to Management Category

The Place to be considered for Amendment to Management Category

Name of Place (if any)

Address / Location*

Suburb*

Supporting Evidence

Supporting Evidence

With reference to the Place Record Form for the subject place, on what grounds do you think that the allocated management category is inappropriate (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

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MHI - Amendment of Category Form

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