5 What area of land is covered by bush? ha 6 Describe topography Mostly Flat Undulating Hilly of land Combination of above 7 Describe soil type of land 8 Does assessment YES NO contain land leased from Crown? If yes, how much is Crown Land? ha 9 Are rights YES NO attached to assessment? If yes please specify limit: 10 Are any capital YES NO improvements on land? If yes please provide details: (eg. dairy, sheds etc.) Please specify any other relevant information: ____________________________________________ _________________________________________________________________________________ Objector’s Details (Please print) Name Status Owner Tenant NB: If occupier only, owner’s consent to objection is required Postal address Postcode : Contact numbers Private: Business: Mobile: Owner’s Consent Obtained: YES / NO Owner’s Signature: (if required) Objector’s Date: / / 20 Signature
5 What area of land is covered by bush? ha 6 Describe topography of land Mostly Flat Combination of above Undulating Hilly 7 Describe soil type of land 8 Does assessment contain land leased from Crown? YES If yes, how much is Crown Land? NO ha 9 Are rights attached to assessment? YES If yes please specify limit: NO 10 Are any capital improvements on land? (eg. dairy, sheds etc.) YES If yes please provide details: NO Please specify any other relevant information: ____________________________________________ _________________________________________________________________________________ Objector’s Details (Please print) Name Status Owner Tenant NB: If occupier only, owner’s consent to objection is required Postal address Postcode : Contact numbers Private: Business: Mobile: Owner’s Consent Obtained: (if required) YES / NO Owner’s Signature: Objector’s Signature Date: / / 20