Application for infrastructure works
Vehicle crossing (Infrastructure Assets Local Law No. 17)
$160.00
Stormwater drainage connection (Infrastructure Assets Local Law No. 16
and Road Management (Works and Infrastructure) Regulations 2015)
Easement or connection not requiring road opening
Connection requiring road opening
$81.60
$319.60
Landscaping of naturestrip (Amenity Local Law No. 20)
$81.60
The following information must be completed and submitted with the accompanying
documents:
Sketch plan showing: proposed works, location, assets within the vicinity
(assets include all trees, landscaping, kerb and channel, footpaths, drains,
service authority assets and private assets).
Contractor’s Certificate of Currency for Public Liability Insurance (minimum
$10,000,000).
Name of applicant:
Address: _________________________________________________________
_________________________________________________________________
Email:
Phone: m:
b:
h:
Subject address: __________________________________________________
_________________________________________________________________
Other information:__________________________________________________
Signed:
Date:
The personal information requested in this form is being collected by Council for the assessment of a infrastructure works permit. This information
will be used solely by Council for those primary, or directly related, purposes. The applicant understands that the personal information provided is
for the assessment of building dispensations and that they may apply to Council for access and /or amendments of the information.
Nillumbik Shire Council Civic Drive (PO Box 476), Greensborough Vic 3088
T 9433 3111 | F 9433 3777 | E nillumbik@nillumbik.vic.gov.au | W www.nillumbik.vic.gov.au