FOOTPATH TRADING
PERMIT APPLICATION
General Provisions Local Law 2012 (No 1 of 2012)
Application Type:
(Please tick applicable boxes)
Temporary Signage
Furniture
Merchandise
Applicant Details:
Surname:
First Name:
Mailing Address:
Suburb:
Post Code:
Phone (BH):
Phone (AH):
Phone (Mobile):
Fax:
Email:
Business Details:
Business Details:
Business Name:
Business Name:
Business Address:
Business Address:
Suburb:
Suburb:
Post Code:
Post Code:
Business Type:
Business Type:
Hours of Operation (Specify days and times during which the temporary sign/street furniture/merchandise
Hours of Operation:
are to be displayed/be used:
Do you have a Liquor Licence
Do you have a disabled parking bay in front of your premises
Do you have a loading zone bay in front of your premises
Yes
Yes
Yes
No
No
No
Footpath Trading Application – Updated 24/06/2014
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Details of Application:
Please fill in details for all items that you propose to place out on the footpath in the relevant boxes below.
Temporary Sign (Tick if applicable)
Note: Only one A-Frame sign can be displayed in front of the premises to which it relates.
Signs are limited to 1.2m in height and 0.75m in width.
Measurements and description/wording on sign:
Furniture
(Tick if applicable)
Measurements and description of tables:
Tables
(Tick if applicable)
Number of tables:
Measurements and description of chairs:
Chairs
(Tick if applicable)
Number of chairs:
Measurements and description of screens:
Screens
(Tick if applicable)
Number of screens:
Measurements and description of umbrellas:
Umbrellas
(Tick if applicable)
Number of umbrellas:
Measurements and description of items:
Other items
(Tick if applicable)
Number of items:
Merchandise:
(Tick if applicable)
Number of merchandise items:
Measurements and description of merchandise items:
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Site Plan Drawing
The aim of the Street Trading Policy is to maximise the width of the pedestrian zone while allowing an
adequate area to accommodate footpath trading where possible. The pedestrian zone is to be a minimum of
1.8metres depending of the footpath width. The kerb zone should be a minimum width of 0.75metres. (Refer
to Footpath Trading Policy Summary Brochure for more details).
Please provide a site plan of the proposed business use of the footpath area below. Drawings must include the
following measurements; Width of the shop front; Width of the footpath; Location of the proposed sign, furniture
and/or goods; Existing public infrastructure Eg. rubbish bins and street signs; and Pedestrian, Trading and Kerb
zones.
Please refer to example layout below
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Applicant Checklist
This checklist is provided to ensure that you have included all information that is required for processing your
permit application in order to eliminate delays during processing
Have you: (please tick when completed)
 Completed Applicant Details and Business Details (page 1 of this application form).
 Entered ALL details, including number of items and measurements, of items that you propose to place
out on the footpath adjacent to your business (page 2 of this application form).
 Completed a Site Plan to scale on the grid provided (page 3 of this application form).
 Attached a copy of your current Public Liability Insurance Certificate of Currency
o Noting Yarra Ranges Council as principal for its rights and interests, and
o to a minimum value of $10 Million.
 Enclosed the permit application fee (renewed annually on October 31).
Full Fee
Pro-Rata (new applications)
$
From date below up until 31 October
1 November
1 February
1 May
1 August
Application fees for a single type of permit
Sign
Furniture
170.00
127.50
85.00
42.50
Merchandise
There is a reduced fee if a combination of applications is lodged together
Combination of any
281.00
210.75
140.50
70.25
2 permits
Combination of 3
438.00
328.50
219.00
109.50
permits
Renewal
$
Flat fee
170.00
281.00
438.00
NOTE: Charity and community groups are exempt from paying any fees however they must submit
an application form and Public Liability insurance cover details.
 Signed and dated the Applicant Declaration (see below).
Applicant Declaration
I have fully completed the checklist provided above. I agree to comply with all of Council’s requirements,
and verify that the above information is true and correct.
Signature:
Date:
Print name:
Return completed form along with payment by:
Mail - PO Box 105 Lilydale 3140
In Person - At any of our Community Links (see below).
Lilydale
Upwey
Cnr Hardy & Anderson St
Ph: 1300 368 333
40 Main St
Ph: 03 9752 6054
Monbulk
21 Main St
Ph: 03 9756 7677
Office Use Only:
Permit Fee: ________
Receipt No.: _________
(see table above for fee amount)
Healesville
Yarra Junction
110 River St
Ph: 5965 3501
Cnr Warburton Hwy &
Hoddle St
Ph: 5967 2875
LC PP No.: _______
Date: ________
Footpath Trading Application – Updated 24/06/2014
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