CRM NO…………… ADJOINING OWNER COMMENTS APPLICATION FOR REPORT AND

2 APPEAL NO……………………………… TO THE RESOURCE MANAGEMENT & PLANNING
4 FORM 7 ( CROFTER ) RECORD NO…………………………… NOTE
ALUMNO………………………………………… Nº……… CURSO …………………………………………………… COLEXIO PLURILINGÜE COMPAÑÍA DE MARÍA

CONFIRMATION – REFERERENDE NO…………… WE THANK YOU FOR YOUR
CONTOH SURAT KETERANGAN SURAT KETERANGAN NO……………………………… YANG BERTANDA TANGAN
CRM NO…………… ADJOINING OWNER COMMENTS APPLICATION FOR REPORT AND

CRM NO…………… ADJOINING OWNER COMMENTS APPLICATION FOR REPORT AND


CRM No:…………….

Adjoining Owner Comments


Application for Report and Consent

To Vary the Building Regulations


To: The Municipal Building Surveyor

City of Whittlesea

Locked Bag 1

Bundoora MDC 3083


Adjoining owner/s name/s: ……………………………………………………………………………


Adjoining owner/s of allotment located at:

……………………………………………….…………………………………………………………..


I/we have sighted and signed the plans for the following proposed building works: (Description of works)

……………………………………………………………………………………………………….......

……………………………………………………………………………………………………………

……………………………………………………………………………………………………………


At the following subject allotment:

………………………………………………………………………………………………..................


Please tick:

I/we □ Object;

I/we □ Have No Objection

To the City of Whittlesea Council granting the siting consent as described above and shown on plans provided to me.



Signed: ………………………………………………..

Dated: .....................................................................

Ph: (Mob) ................................................................ H:………………………………… W:…………………...................................................

Email Address:………………………………………………………………………………


Please Note:

The plans/drawings the adjoining owners have sighted are also to be signed and dated.

If you object to the proposed siting dispensation, you are required to provide reasons why you object.



Please address your objection to: Municipal Building Surveyor

City of Whittlesea

Locked Bag 1

BUNDOORA MDC 3083

INFORMATION PRIVACY: The information supplied on this form is shared with the Victorian Building Authority, the Electoral Commission and other government agencies as required by law and in accordance with Council’s Privacy Policy which is published at www.whittlesea.vic.gov.au.


DOSYA TESLIM TARIHI……20… DOSYA NO……………………… TC EGE ÜNİVERSİTESİ ATATÜRK
F22334 APPLICATION REFERENCE NO…………… (FOR OFFICIAL USE) THE ENVIRONMENTAL
FOR OFFICE USE APPLICATION NO………………… DATE……………………………… FEE PAID………………………… RECEIPT


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