APPLICATION FOR RIGHT OF WAY
DISCONTINUANCE
Ratepayer name: Ratepayer name:
Residential address: Residential address:
Phone (Home/Business): Correspondence address (if different from above):
Mobile:.
Fax:
Date:
Signature: Signature:
The right of way that I am interested in purchasing is adjoining the property known as:
Please sketch the area you are interested in purchasing on the following page.
Upon completion of the form, please mail to:
City of Boroondara, Private Bag 1, CAMBERWELL, VIC, 3124.
Privacy Statement: The personal information requested on this form is being collected by Council for the purpose of considering a
request to discontinue a right of way. The personal information will be used by Council for that primary purpose or directly related
purposes. The personal information collected may be disclosed in reports to Council which will, by virtue of the Local Government Act
1989 be available to the public, including on Council's website, for an extended period. If the information is not collected Council may
not be able to consider the request. The applicant understands that the personal information provided is for purpose of right of way
discontinuance and that he or she may apply to council for access to and/or amendment of the information. Requests for access and/or
correction should be made to Council’s Privacy Officer.
C:\Documents and Settings\gbranton\Desktop\Rates\ROW Application Form_GB.doc
APPLICATION FOR RIGHT OF WAY
DISCONTINUANCE
Plan Description of Area
Please clearly indicate the location of your premises, the right of way and the portion of the right of way that you are
interested in purchasing. If the right of way is used for access, please indicate which part of the land is used and the
approximate position of any gates, garages and carports.
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