Application for construction

Application for Construction of a Vehicle Crossing

To be submitted for approval, prior to construction of the crossing.

Applicant's full name(s)

Property address where the crossing will be constructed:

Site: House and lot number and street name:

Site: Suburb

Postal address if different from address where crossing constructed:

Postal: House or lot number and street name:

Postal: Suburb

Post Code

Daytime phone number:

Email address:

Crossing details:

New crossing

Upgrade existing crossing

Additional crossing

Is there a pathway?

Yes

Construction material used:

Asphalt (Commercial & Industrial only)

Bitumen (Rural only)

Brick paving (Residential & Rural only)

Concrete (Commercial, Industrial, Residential & Rural)

Proposed crossover width (at the property boundary):

Attach sketch of location and dimensions of crossing

One file only.
40 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
40 MB limit per form.

Expected start date for construction:

Insert names of services written approvals have been obtained for relocation or alterations?

Approval:

Signature of applicant:

Sign above

Application for subsidy - Vehicle Crossing / Crossover

Application for Construction of a Vehicle Crossing

To be submitted for approval, prior to construction of the crossing.

Property address where the crossing will be constructed:

Postal address if different from address where crossing constructed:

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