Form 15B application Court Use Magistrates Court of South Australia (Civil Division) Date Filed: Copy to Occupier: Fire and Emergency Services Act 2005 Copy to Owner: Section 38 Trial Court Action No Street Telephone Facsimile DX Address City/Town/Suburb State Postcode Email Address Officer Full Name Address Street Telephone Facsimile DX (Registered Office, if Body Corporate) City/Town/Suburb State Postcode Email Address Solicitor (if any) This is an application under section 38 of the Act for an order directing the occupier to close or keep closed the building at For a period of Occupier of the building (if more than one occupier, please attach particulars) Full Name Address Street Telephone Facsimile DX (Registered Office, if Body Corporate) City/Town/Suburb State Postcode Email Address Owner Full Name Address Street Telephone Facsimile DX (Registered Office, if Body Corporate) City/Town/Suburb State Postcode Email Address Briefly state the reasons for seeking this order: State to whom and when the closure order for this building was given: Attach a copy of any written notice of the closure order. State to whom and when notice of intention to make this application was given: Date APPLICANT
Form 15B application Magistrates Court of South Australia (Civil Division) Fire and Emergency Services Act 2005 Section 38 Court Use Date Filed: Copy to Occupier: Copy to Owner: Trial Court Action No Address Street Telephone Facsimile DX City/Town/Suburb State Postcode Email Address Officer Full Name Address (Registered Office, if Body Corporate) Street Telephone Facsimile DX City/Town/Suburb State Postcode Email Address Solicitor (if any) This is an application under section 38 of the Act for an order directing the occupier to close or keep closed the building at For a period of Occupier of the building (if more than one occupier, please attach particulars) Full Name Address (Registered Office, if Body Corporate) Street Telephone Facsimile DX City/Town/Suburb State Postcode Email Address Owner Full Name Address (Registered Office, if Body Corporate) Street Telephone Facsimile DX City/Town/Suburb State Postcode Email Address Briefly state the reasons for seeking this order: State to whom and when the closure order for this building was given: Attach a copy of any written notice of the closure order. State to whom and when notice of intention to make this application was given: Date APPLICANT
Form%2015B%20-%20Application%20-%20Fire%20and%20Emergency%20Services%20Act%202005.docx