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Application for Use of Council Controlled Parkland

Temporary Access for Private Works

An approval permit incorporating a refundable bond (to cover potential parkland damage) is required for all temporary access to residential or private property through Council controlled parkland for matters such as:

• fence construction
• swimming pool installation
• property landscaping
• removal of boat or vehicle from property

Where any capital improvement activities (such as house or building renovations) are required, a fee will apply in addition to a refundable bond. Note: approval will not be granted on a regular basis for the storage and removal of trailers, boats, caravans and campers.

Please read the enclosed terms and conditions prior to completing the application form to ensure correct form is being submitted, appropriate information is provided and you are aware of any bonds, permits and/or conditions that may apply to your usage. A minimum of ten (10) working days is required for processing park usage applications. All details must be completed in order for the application to be processed. Applications for ‘major’ works should not be submitted on this form (refer to Park Usage Guidelines for appropriate application process).

Park Usage Details Park Name* or Location*
(Please provide street address of whose work is being performed ) Start Date*

[eg: 17/09/2009] Start Time* [eg: 03:45 PM] End Date*

[eg: 17/09/2009] End Time* [eg: 03:45 PM] Contact Details Mr/Mrs/Ms* Name* Company* Address* Suburb* State* Post Code* Daytime Telephone* Mobile* Email* Are you the* Property Owner (resident)
Contractor appointed by Residential Property Owner
Developer
Contractor appointed by Developer
Other (please specify)
Temporary Park Access Please state reason access is required and the nature of works and/or development. Please be specific providing all details of work being undertaken including type/s of vehicle/s being used eg ute, truck, crane. Does your access require a park gate to be unlocked ?*
YesNo Address location of gate or entry into the park*

IMPORTANT NOTE/S:

A refundable bond is required to be paid for all Temporary Access Permits.
Usage fees may also apply (refer Items 3 & 4 of Terms & Conditions for Park Usage).

AGREEMENT In checking this box and submitting this form, you hereby certify that the information provided is complete and accurate to the best of your knowledge. You acknowledge and agree to abide by the terms and conditions enclosed with this form. In doing so, it is acknowledged that Council’s decision in regard to the use of the facility is final and failure to abide by these conditions may lead to the cancellation of the approval, the denial of future permit applications or other legal action by Parks and Recreational Services Branch.

Gold Coast City Council is collecting your personal information in order to process your request for permission to utilise a Gold Coast Park for an activity or event. Your participation is voluntary. The information will only be used by authorised Council officers for the purpose of processing your park usage application and ensuring our records are accurate. Your information will not be given to any other person or agency unless you have given us permission or we are required by law.

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