City Status Investigation

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Application to Vary Firebreaks

This application must be completed no later than 1 November each year. Approval of this application does not grant an exemption to install firebreaks on your property.

Applicant details

Full name

Postal address: Street No

Street Name

Suburb

Postcode

Phone

In accordance with the provisions of the Shire of Harvey Firebreak Notice I hereby apply for permission to provide firebreaks in alternative positions for the property at:

Address

Questions

Is the land grazed?

Yes
No

If yes, by what animals?

Do you have fire suppression equipment at the property?

Yes
No

If permission is not granted by the Council or its duly Authorised Officers, you must comply with the requirements of the Firebreak Order.

Declaration

I have read and I understand the guidelines of this application.

Please agree

Shire

Community

Services

Facilities

Build and Develop

Application to Vary Firebreaks