The road manager or trustee of the reserve proposed to be impacted by an application must complete this statement.
This statement should not be completed by the applicant.
This statement is used by a road manager or trustee of a reserve to support the following applications proposed to impact road or reserve land:
The road manager or trustee of the reserve proposed to be impacted by an application must complete this statement.
This statement should not be completed by the applicant.
Once the road manager or trustee has submitted the statement, the department will start to verify and assess the application.
Information on this form, and any attachments, is being collected to process and assess an application under the Land Act 1994. The consideration of the statement may involve consultation, and if so, details of the statement may be disclosed to third parties. They will not be otherwise disclosed outside the department unless required or authorised by law.
I have read and understood this information Agree