sgddir7 Ver2012 Exemption Form SSI Reg 2012 by ut7cfh

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									       SURVEYING REGULATION 2012 - EXEMPTION REQUEST
                        (Type details in the Grey Highlighted Areas. They will expand automatically as you type)
                                                                                             Surveyors Reference:

Surveyor's Name:

Organisation:

Address:




Phone:                                                          Fax:

E-Mail:

Lot & DP No:

LGA:                                                            Locality:

Purpose of Survey: (please type details here)



Reasons for Request: (please type details here)




Exemption Requested: (Please indicate)                  Common Surveying Regulation Clauses exempted:
12 (MGA)                                                    12(4) (Verify MGA)
13 (AHD)                                                    41 (Placement of PMs)
Other:
Please Attach:    Diagram / DP                                  Plus any relevant information
                  SCIMS Request
                  SCIMS Results




Send all requests to:               Cadastral Management Unit                                      Ph:       (02) 6332 8225
                                    Land and Property Information NSW                              Fax       (02) 6332 8230
                                    E-mail:         cmu@lpi.nsw.gov.au
                                    PO Box 143
                                    BATHURST NSW 2795

								
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