ARCHIVE SEARCH REQUEST

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ARCHIVE SEARCH REQUEST Powered By Docstoc
					                                                                          ARCHIVE SEARCH REQUEST
PO Box 82                                                                                                                                                   Office Use Only:
LEEDERVILLE WA 6902
244 Vincent Street (Cnr Loftus Street)                                                                                                                      Date Received Stamp:
LEEDERVILLE WA 6007                                                                                                                                         Amount Paid:
Telephone: (08) 9273 6028                                                                                                                                   Receipt No:
Facsimile:     (08) 9273 6099

TYPE OF ARCHIVE SEARCH REQUEST
 Please tick relevant search request:
       Town of Vincent Search Only (1993 to current)                                                       $35.00 (as per the Town’s Schedule of Fees & Charges 2009/2010)
       Town of Vincent & City of Stirling combined Search                                                  $60.00 (as per the Town’s Schedule of Fees & Charges 2009/2010)
       Town of Vincent & City of Perth combined Search                                                     $60.00 (10 Day Search) / $250.00 (24 Hour Search)
                                                                                                           (as per the Town’s Schedule of Fees & Charges 2009/2010)
DATE OF REQUEST



OWNER(S) OF LAND DECLARATION

 I/We: .............................................................................................................................................................................................................................
 being the current Owner(s) of the property detailed hereunder, request an archival search to be conducted for approved building plans relating to
 the below mentioned subject property.
ADDRESS OF PROPERTY TO BE SEARCHED
 Lot Number:                                               Unit Number:                                                               Street Number:
 Street Name:                                                                                                                          Suburb:
REASONS FOR ARCHIVE SEARCH AND APPROXIMATE YEAR OF APPROVAL(S) IF KNOWN




APPLICANT DETAILS (If you are not the Owner of the land, refer to reverse of this form)
 Contact Name:                                                                                             Company Name (if applicable):
 Street Address:
 Suburb:                                                                                                                                        Post Code:
 Tel No. (Home):                                                          Tel No. (Bus):                                                        Tel No. (Mobile):
 E-mail Address:
 Signature of Applicant:

DISCLAIMER
 Please note that the relevant fee is payable upon submission of your application and is not refundable in the event that the plans are not
 located. The archive information is usually available within 10 working days of the search request being lodged and you will be notified
 accordingly. Additional charges will also apply for the photocopying of plans. Please refer to the Town's current Schedule of Fees and Charges.
                                                                                                 OFFICE USE ONLY
   CITY OF PERTH                                 REFERENCE CODE                                    CITY OF STIRLING                            REFERENCE CODE                                   TOWN OF VINCENT
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AUTHORISATION FROM CURRENT OWNER OF LAND FOR A THIRD PARTY TO REQUEST AN ARCHIVE SEARCH

I/We: .............................................................................................................................................................................................................................
being the current Owner(s) of the property situated at

    Lot Number:                                                Unit Number:                                                               Street Number:
    Street Name:                                                                                                                           Suburb:

hereby authorise

    Contact Name:

    Company Name:


to request an Archive Search and to view and obtain copies of the approved building plans relevant to the subject property.

Contact details of Owner(s):

    Tel No. (Home):                                                                                    Tel No. (Mobile):
    Tel No. (Bus):                                                                                     E-mail Address:

    Signature of Owner(s):
    Date of Authorisation::

				
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Description: ARCHIVE SEARCH REQUEST