Application for Change of Rate Category

Application for Change of Rate Category
Property Owner*

First NameLast Name
Email
example@example.com
Property Details*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
LOT/DP*

LOTDP
Type a question

Mailing address is the same as above
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Details of Current Business or Residential Use*
Current Category of Land*
Proposed Category of Land*
Is the land vacant, or are there any buildings or structures on the described land*
Reason for Change Category *
Please note that documentary evidence can be required by Council
File Upload

Cancelof
Information Declaration*

Yes. 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 you have provided. However, where further details are required, Council may contact you to request more information, or to conduct a site visit (only where necessary).
Site Visit Declaration*

Yes. I hereby consent to Council staff to enter onto the above property for the purpose of carrying out and recording the inspection in connection with this application.
Disclaimer and signature*

Clear
I certify that my answers are true and complete to the best of my knowledge.
Date*

MonthDayYear
Date
Should be Empty: