Change of Rate Category

Owner and property details

Property owner *

Contact name (if different from owner)

Property Address *

Street address *

City *

State *

Postcode *

Postal address same as property address

Postal address

Street address

City

State

Postcode

Contact phone (during business hours) *

Email address

Property ID

Land area (if known)

Current category of land

Proposed category of land

Is the land vacant, or are there any buildings or structure on the described land? *

Reason why the proposed category is more appropriate (please note that documentary evidence will be required by Council) *

Supporting documentation for application *

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Information declaration

I hereby declare that the information contained in this application is true and correct and I have provided copies of all relevant documents as required *

Site visit declaration

Council staff will endeavour to finalise your application based on the information youhave provided. However, where further details are required, Council may contact youto request more information, or to conduct a site visit (only where absolutelynecessary).

I hereby consent to Council staff to enter onto the above property for the purpose ofcarrying out and recording the inspection in connection with this application.

Do you wish to be present if an inspection is required? *

YesNo

Signature *

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Date

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