Asset Protection & Pre-Commencement Report application

Privacy Collection Statement

Your personal information is being collected by Council to register your enquiry in relation to your proposed new small business venture. Your details will be stored and used by Council to identify you when responding to your enquiries and for the delivery of services and information. For further information on how your personal information is handled, visit Council’s Privacy Policy.

BUILDER DETAILS

Business name: (required)

Business street address: (required)

Mobile number: (required)

Email address (required)

SITE INFORMATION

Lot number: (required)

Full street address (required)

Construction type: (required)

Approximate build commencement date: (required)

BUILDERS DAMAGE INSPECTION

Is there existing damage to council assets? (required)

Yes

No

Sketch existing damage:

Facing the block, record all footpath bays from LEFT to RIGHT identifying property boundaries, location of vehicle crossing/s, parking bays, stormwater pits, nature strip trees and whether a stormwater drain is under the path. Mark locations of any existing damage, including to the kerb and channel.

Refer to the example below:

Blank example template for builder to download if a template is required

Attach document of sketch showing location of existing damage:

Maximum 2 files.
5 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx.
63 MB limit per form.

Details of damage

Total number of damage or existing trees / services (must be numbers only):

Number of damaged footpath bays:

Number of damaged vehicle crossing bays (drive way):

Number of damaged kerb and channel sections (gutter):

Number of damaged parking bays:

Number of damaged storm water pits; pit lids:

Number of damaged street trees:

Note: Dated photographic evidence of all pre-existing damage must be submitted with this application. Only evidence relating to pre-existing damage as listed above should be included.

Attach images of pre-existing damage as listed above:

Maximum 5 files.
5 MB limit.
Allowed types: gif, jpg, png, svg.
63 MB limit per form.

Additional comments:

Attach images relating to your additional comments:

Maximum 5 files.
5 MB limit.
Allowed types: gif, jpg, png, pdf, doc, docx.
63 MB limit per form.

Full Name

Digital signature (required)

Sign above

Date: (required)

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Acknowledgement of Traditional Custodians

Wyndham City Council recognises Aboriginal and Torres Strait Islander peoples as the first Peoples of Australia. We acknowledge the Bunurong and Wadawurrung Peoples as Traditional Owners of the lands on which Wyndham City operates. The Wadawurrung and Bunurong Peoples have and always will belong to the Werribee Yalook (river), creeks, stars, hills and red clay of this Country. We pay respect to their Ancestors and Elders who always have, and always will, care for Country and community today and for future generations.