City of Greater Geelong
Application for Kerb Side Numbering Permit
I/We the undersigned hereby apply to the City of Greater Geelong for a Kerb Side Numbering Permit.
Name of Applicant
/Date
/ / /Applicant Trade Name / ABN
Postal Address
Phone /
Fax
/I the undersigned hereby agree to abide by the conditions set out for kerbside numbering.
The personal information requested on this form is being collected by Council for the purpose of registering and administering your application for directional signage. The personal information will be used solely by Council for that primary purpose or directly related purposes. The information will not be disclosed except as required by law. If you fail to provide this information, your application may not be processed. You may apply to Council by telephoning 5272 4384 for access to and/or amendment of the information.
This application may be submitted with relevant documentation (listed below) for assessment as part of a “Consent for Works Within Road Reserves Permit” (MINWO2) at Council’s Brougham Street, Customer Service Centre, or by mail, Addressed to:
Infrastructure Management Unit
Engineering Services
City of Greater Geelong
PO Box 104
GEELONG VIC 3220
For further information please contact:
Mr. Aaron McGlade
Infrastructure Projects Engineer
Telephone Number: (03) 5272 4538
The personal information requested on this form is being collected by Council for the purpose of registering and administering your application for directional signage. The personal information will be used solely by Council for that primary purpose or directly related purposes. The information will not be disclosed except as required by law. If you fail to provide this information, your application may not be processed. You may apply to Council by telephoning 5272 4384 for access to and/or amendment of the information.
Signed:
Date:
Required Documentation: Copy of Registration of Business, Australian Business Number (ABN), Copy of current Public Liability Insurance Policy ($10,000,000)
The personal information requested on this form is being collected by Council for the purpose of registering and administering your application for directional signage. The personal information will be used solely by Council for that primary purpose or directly related purposes. The information will not be disclosed except as required by law. If you fail to provide this information, your application may not be processed. You may apply to Council by telephoning 5272 4384 for access to and/or amendment of the information.