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    Application For Legal Point of Discharge

    Uploaded by

    Jerry Lau
    This document is an application for a legal point of discharge from a property. It requests applicant details like name, address, and contact information. It also requests property details including the house number, lot number, street name, town, and development type. The applicant must select the required documents to attach and payment options. Credit card details are also requested if paying by card. The application fee is listed. The bottom section is for office use only to record the receipt number, property details, legal point of discharge, any conditions, and approval details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application For Legal Point of Discharge

    Uploaded by

    Jerry Lau
    43 views2 pages
    This document is an application for a legal point of discharge from a property. It requests applicant details like name, address, and contact information. It also requests property details including the house number, lot number, street name, town, and development type. The applicant must select the required documents to attach and payment options. Credit card details are also requested if paying by card. The application fee is listed. The bottom section is for office use only to record the receipt number, property details, legal point of discharge, any conditions, and approval details.

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    Application for Legal Point of Discharge

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    This document is an application for a legal point of discharge from a property. It requests applicant details like name, address, and contact information. It also requests property details including the house number, lot number, street name, town, and development type. The applicant must select the required documents to attach and payment options. Credit card details are also requested if paying by card. The application fee is listed. The bottom section is for office use only to record the receipt number, property details, legal point of discharge, any conditions, and approval details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views2 pages

    Application For Legal Point of Discharge

    Uploaded by

    Jerry Lau
    This document is an application for a legal point of discharge from a property. It requests applicant details like name, address, and contact information. It also requests property details including the house number, lot number, street name, town, and development type. The applicant must select the required documents to attach and payment options. Credit card details are also requested if paying by card. The application fee is listed. The bottom section is for office use only to record the receipt number, property details, legal point of discharge, any conditions, and approval details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    APPLICATION FOR LEGAL POINT OF DISCHARGE

    APPLICANT DETAILS

    Name: ______________________________________________________________________________
    _____________________________________________________________________
    Postal Address: ______________________________________________________________________________
    __________________________________________________________________________
    Contact Number: _________________________________________
    ___________________________________________________________
    _______________________________
    Fax Number: ______________________________________________________________________________
    __________________________________________________________________________
    Email: ________________________________________
    _______________________________________________________________________________________________________
    ________________________________________

    PROPERTY AND DEVELOPMENT DETAILS FOR APPLICATION


    House Number: Lot Number:

    Street Name: Town / Suburb:

    Planning Permit Number *: Plan of Subdivision Number *:

    Residential Commercial Industrial

    TO BE COMPLETED BY APPLICANT
    New Dwelling Multi Units (No. Of Units:_________________
    Units:_________________)

    Second Dwelling New Garage / Carport

    Extension / Alteration Other

    Other Information:
    DOCUMENTS TO ACCOMPANY WITH THIS FORM
    Copy of Site Plan ** Copy of Planning Permit *

    Copy of Title ** Copy of Subdivision Plan *


    PAYMENT OPTIONS
    Cheque to: HEPBURN SHIRE COUNCIL (Chq. Number: ____________________________
    _______________________

    In person: Cnr.. Duke Street & Albert Street, Daylesford

    Via Mail: P O Box 21, Daylesford, VIC 3460

    Credit Card: Card payments can also be made on phone.

    CREDIT CARD DETAILS

    Credit Card Number: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expiry: _ _ / _ _

    Name on Card: ____________________________________________________________

    Signature: _______________________________________________________
    We ONLY accept payments made by Visa and Master cards.

    Application Fee: $ 65.40 (as per Section 312(3) Building Regulations 2006)
    OFFICE USE ONLY

    Receipt Number:
    Official Stamp
    Application is not valid without receipt number.

    * if applied or issued **must be submitted tick where required


    • Please clearly
    arly print details in this form.
    Note:
    • Result will be sent back to applicant within 7
    7-10 working days from the day application received by Council with all the
    required documents.
    APPLICATION FOR LEGAL POINT OF DISCHARGE
    OFFICE USE ONLY
    Receipt Number:
    House Number: Lot Number:
    Street Name: Town / Suburb:
    File Number: Property Number:

    Legal Point of Discharge is:

    Conditions:

    Above information is provided by: ___________________________________________________________

    Signature: _________________________________________ Date: ________________________________

    Customer Services, Cnr. Duke & Albert Street, Daylesford 3460


    P O Box 21, Daylesford, VIC 3460
    Telephone: (03) 5348 1577, (03) 5348 1633 Facsimile: (03) 5348 1304 Email: [email protected]

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