Western Australian Repealed Regulations Western Australian Repealed RegulationsThis legislation has been repealed.
[Reg. 4]
EPRA Use Only
File No. ___________________
FORM 1
EAST PERTH REDEVELOPMENT ACT 1991
SECTION 40
APPLICATION FOR APPROVAL TO UNDERTAKE DEVELOPMENT
To : East Perth Redevelopment Authority
1. Name(s) of Owner(s) in full
Surname (or Company name)
............................. Other names .................................
Surname (or Company name)
............................. Other names .................................
Surname (or Company name)
............................. Other names .................................
2. Address in full
............................................................................................................
.....................................................................................................................................
3. Applicant's Name in full (if owner put self)
...............................................................
4. Address for correspondence
.......................................................................................
Telephone No.
............................................................................................................
5. Locality of Development (Street number, street,
suburb) ..........................................
6. Description of land: Lot No(s)
................... Location No. ....................
Plan/Diagram No. .............. Certificate of
Title Vol. ............. Folio ..........................
Plan/Diagram No. .............. Certificate of
Title Vol. ............. Folio ..........................
7. Name of nearest road junction/intersection
................................................................
8. Description of proposed development
........................................................................
.....................................................................................................................................
9. Purpose for which land is currently being used
.........................................................
10. State nature of existing buildings on the land
............................................................
Are existing buildings to be demolished in whole
or in part?
(a) YES/NO ...................... (b) WHOLE/PART
11. Materials and Colour to be used on external
surfaces (including the roof) and any paved areas of the building
.........................................................................................
12. Estimated cost of development $
...............................................................................
13. Estimated date of completion
.....................................................................................
Signature of owner(s) of the land Signature of
Applicant(s)
................................. Date .................
.................................. Date ..................
................................. Date .................
.................................. Date ..................
................................. Date ..................
.................................. Date ..................
State position if signing on behalf of a Company
Note 1: This
application is to be accompanied by 5 copies of the plan(s) and
specifications for the development and the prescribed fee.
Note 2: It is an
offence under regulation 7 for a person —
(a) to
make a statement or give any information which that person knows is false in a
material particular in connection with an application for approval of a
development; or
(b) to
omit to supply to the Authority any information or particular which that
person knows to be relevant to the application.
The offence is
punishable by a fine of up to $1 000.
[Form 1 (correction to Reprint in Gazette
27 Feb 2004 p. 639); amended in Gazette 29 Dec 2006
p. 5894; 2 Sep 2011 p. 3622.]