Rural Address Number Application Form - Applicant Details

Full Name(s) or Company / Organisation *

Are you the owner of the property? *

YesNo

If no, what is the reason for this application? *

Postal address *

Phone/Mobile *

Email Address *

Property details

Lot number/s *

Section *

DP number/s *

Street number (if applicable)

Street name *

Please note: If this application is for a new subdivision, access / entrances to the new lots must be completed prior to lodging this application.

Name *

On behalf of

Signature *

Draw signature|Type signatureClear

Date *

Application fees

For applications related to subdivisions, please refer to the relevant condition on the development consent regarding applicable fee/s.

Properties that do not have a number are liable to pay for a single new rural number as per the current fees and charges.