Application Seeking a Change of Property Address Form

Application Seeking a Change of Property
Address Form - 2015/16
Enquires: 9366 3666 Fax: 9366 3777 www.botanybay.nsw.gov.au
The current Address is
Reason for change of address. Please tick the relevant box(es):
A consolidation of Lots
Subdivided of Lots
A new development
Strata
New Road
Council approved corner property with 2 street frontages (entrance and mail box change)
Other (Please specify)
1. LOCATION & TITLE DESCRIPTION OF THE PROPERTY
Unit, Shop or Suite
Street Number
Street
Suburb
Nearest Cross Street
Owner(s) Name
Lot/Portion
Section
Deposited Plan (DP)
Folio/Vol or Book/No
Please note the following:
• Unauthorised use of premises cannot be approved as a separate postal address. Australia Post, and other public authorities,
will not deliver mail to an unauthorised address
• Council is the responsible authority for house numbering
• Street address numbering and re-numbering will not be undertaken for cultural, social, religious or superstitious reasons
• House numbering must be kept in consecutive order
• The house number must be displayed at the premises and mail boxes
DEVT-15-FRM-04
VERSION: 2.0
ISSUE DATE: 01/06/15
PAGE 1 OF 2
2.
NAME, ADDRESS & CONTACT DETAILS OF APPLICANT
Title: Mr
Mrs
Miss
Ms
Other
Name (Or Company)
Contact Person (If Company)
Postal Address
Phone (2)
Phone (1)
3.
Fax
LODGING YOUR APPLICATION & PAYMENT METHODS
Please include the correct fee of $540 with this application
This fee applies per property and includes:
•
•
$220 for Council inspection and processing of application; and
$320 for Council notification to all public authorities, if address change is approved
Applications can be made in person, by post or by fax. Payment options includes:
•
•
In person - by cash, cheque, credit card or Eftpos at Councils Customer Service Centre, 141 Coward Street, Mascot.
By Mail - send cheque made out to City of Botany Bay Council, and post with your application to City of Botany Bay
Council, 141 Coward Street, Mascot, 2020 or DX 4108 Maroubra Junction.
Office Use Only:
Office Use Only:
Receipt No:
Total Fee: $
Signature:
PRIVACY: Personal details requested on this form will only be used for the purpose of
processing your application. The supply of information by you is voluntary. If you
cannot provide or do not wish to provide the information sought, the council may not
be able to process your application. Access to the information is restricted to Council
officers and other authorised people. You may make application for access or
amendment to information held by Council.You may request Council to suppress
our personal information from a public register.
DEVT-15-FRM-04
VERSION: 2.0
ISSUE DATE: 01/06/15
PAGE 2 OF 2