Collection of Information Colac Otway Shire is committed to protecting your privacy. The personal information requested on this form is being collected by Colac Otway Shire for the purpose of issuing a permit and/or other related purpose. The personal information will also be disclosed to the Building and Planning, Information Management and Customer Service departments for the purpose of record management, taking payment and issuing a permit. It will not be disclosed to any other external party without your consent, unless required or authorised by law. If the personal information is not collected, a permit will not be issued. If you wish to alter any of the personal information you have supplied to Colac Otway Shire, please contact Council via telephone on 5232 9400 or email inq@colacotway.vic.gov.au. Council’s Privacy Policy is available from our website: colacotway.vic.gov.au/Council-the-shire/Council-policies and all Council Customer Service Centres. Fees Apply Fees apply An administration fee of $48.00 applies plus $25.00 per square metres of frontage and $104.00 per week occupied. Your Details First name Last name Residential or postal address Residential or postal address Best phone number to contact you on Email Application Details Exact address of site/hoarding location Exact address of site/hoarding location Property owner’s name Period of time of hoarding: Start date End date Purpose of hoarding: Public Protection via a building permit OH&S/Workcare Other (please describe) Enter other… Works to be Undertaken by Contact Details Contact person Business name Email Phone number Postal address Documentation Required A plan describing the proposed works. Upload Upload requirementsOne file only.20 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Traffic Manangement Plan (if required) Upload Upload requirementsOne file only.20 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Applicant’s Public Liability Insurance Policy Certificate of Currency noting Colac Otway Shire Council as an interested party (with proof of a minimum $20 million Public Liability Insurance coverage) attached. Please be advised that it is the appliant’s responsibility to ensure that your insurance policy covers the activity or event relevant to the application Upload Upload requirementsOne file only.20 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. If parking bays are required, a Work Zone Parking Permit must also be completed. Fees Payable How many square metres of frontage? square metre/s Fees apply An administration fee will be charged of $48.00 applies plus $25.00 per square metres of frontage and $104.00 per week occupied. Proceed to Payment Leave this field blank
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