Building Regulations 2006 (Regulation 326) Property Information Request Application Fee: $51.20 Application Number (Office use only): To be completed by applicant Name of applicant: Contact person (if different from applicant): Organisation (if applicable): Postal address: Suburb: Phone number/mobile: Postcode: Fax: Email address: Applicants Reference Number: Nature of Proposed Works: Property details Number: Street: Suburb: Postcode: Lot/s: LP/PS or CA Section: Requested information In accordance with Regulation 326 of the Building Regulations 2006, I request the following information: Fee required (1)(a, b & c) Details of any permit or certificates of final inspection issued in the preceding 10 years, Details of any current statement issued under Regulation 502 or 503 of these Regulations, Details of any current notice or orders issued under these Regulations $51.20 (2)(a, b, c, d & e) Details of the building or land in an area subject to flooding, attack by termites, bush fire prone, significant snowfalls or designated land $51.20 (3) Mandatory inspection approval dates (Owner, mortgagee or building practitioner applications only) $51.20 Signed: Date: Credit Card payment form attached Page 1 of 2 Credit Card payment Mastercard/Visa Authorisation Your signature below is an authority for Council to issue a sales voucher for the amount shown below as your payment for this planning application. Visa Credit Card Number Card Expiry Date: Cardholder’s Name: Cardholder’s Signature MasterCard Return completed form to the City of Greater Dandenong By mail: City of Greater Dandenong PO Box 200 DANDENONG VIC 3175 In person: at a Council customer service centre By email: buildservices@cgd.vic.gov.au Dandenong: 225 Lonsdale St By fax: 8571 5196 We respect your privacy. We will not sell or give away your personal information, unless required by law. Occasionally, we may use your details for our own research purposes or to let you know about other council information. If you want to see your personal data, modify your details, or if you receive information from us you do not want in the future please contact Council on 8571 1000. Page 2 of 2