Application to the Local Court

Section 45 Local Court Act 2007
Part 4 Local Court Rules 2009

Notice of Listing

Place:
Time and Date:

Applicant Details

Name:Jenny Abbott
Address:2 Big Street Suburb 2000
Postal Address:As above
Lawyers Name & Address:Not applicable

Respondent Details

Name:Frank Melman
Address:4 Big Street Suburb 2000
Fax:Not applicable

Additional Parties

Name:
Address:
Connection to proceedings (e.g. Owner of goods):

Statement of Service

I (name) of (occupation)did serve a copy of this application on (name(s) on (date)by (tick one):

delivering a copy personally to the person

giving a copy to (name), an adult person at the address of the respondent.

sending a copy by registered mail to the respondent’s address at:

sending a copy by facsimile to the respondent’s address at:(only available where respondent is a Government Department and fax number provided). Advice confirming successful transmission of the document was received by me on (date):

Signature:
Name:

Witness Signature:
Name:

Application to the Local Court

Act and Section under which application lodged:Protection of the Environment Operations Act 1997, s268

Order/s Sought:

1.The respondent ensures that the noise of his dog barking is prevented from the date 7 days after the date of this order.

2. The respondent prevent the recurrence of the noise of the barking dog.

Grounds for Application:

1. My occupation of premises at 2 Big Street Suburb is affected by offensive noise which comes from 4 Big Street Suburb.

2. The respondent is the owner and occupant of 4 Big Street Suburb.

3. The offensive noise is barking by a dog at 4 Big Street Suburb. I believe the dog belongs to the respondent. On 5 January 20xx I spoke to the respondent and asked him to limit the noise made by his dog. I wrote to the respondent on 10 February 20xx, 1 April 20xx and 19 May 20xx. There has been no reduction in the noise from the barking dog.

4. I contacted Community Justice Centre NSW on 3 April 20xx. I was advised on 20 April 20xx that the respondent refused to attempt mediation with me.

Other relevant Information:

(E.g. Date of birth, Licence number, other relevant charges, alternative address)

Signature of Applicant:Jenny Abbott
(Signature not required if applicant is a police officer or public officer)

Signature of Registrar:
(Signature not required if applicant is a police officer or public officer)

Application filed at:
Date of filing application:

Court Registry Use OnlyPayment Stamp
Date Court Attendance Notice Filed:
Place of Filing:
(If different from place of first listing):
Court Reference Number:
Fees (circle): Paid / Waived / Remitted / Exempt

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