Have you got a long term plan in place to manage your heritage First name item/s? (eg a conservation management plan, maintenance plan, Last name sustainability management plan etc) Mailing address Post Code Attach a copy of your plan/s (day) 6(b) Public benefit and enjoyment Describe how your project will opportunities for people Facsimile (day) increase to learn about, access and enjoy their heritage Email @ ABN registered name 6(c) Innovation and leadership ABN No. Describe how your project will lead to a positive change in community attitudes and actions towards to heritage GST registered? Yes No 9. Ownership Please complete if applicant is NOT the owner of the heritage item 6(d) Capacity and commitment to undertake the project Owner’s name Do you have the necessary time Yes No Contact name and project and financial Owner’s management skills to signature successfully undertake this project ? All owners must sign 10. Applicant’s declaration Will your project be completed Yes No within the funding time frame I confirm that all the information Yes No and be fully claimed by 26 April provided in this project application is 2019 ? true and correct to the best of my knowledge 6(e) Funding equity and cost effectiveness I have completed ALL questions on Yes No this project application Will your project proceed Yes No without this funding assistance ? I have attached ALL requested Yes No summaries and attached other Are you receiving funding or Yes No information support from sources? If yes, detail Signature Date Questions? Please contact Council’s Heritage Advisor, 7. Local Council contact Dr Jennifer Lambert Tracey on 0419 011 860 I have discussed my project with Yes No the Council heritage officer or Submitting your your completed project application and heritage advisor before lodging attach digital images and other information to application this application or Post CD or hard copy to Name of Council contact Attention: Heritage Places Grants 2018-2019 Email OR post Upper Lachlan Shire Council 8. Applicant details We will correspond with this person Please DO NOT PO Box 42 send twice Gunning NSW 2581 Title (Mr/ Ms /Mrs)
Have you got a long term plan in place to manage your heritage item/s? (eg a conservation management plan, maintenance plan, sustainability management plan etc) Attach a copy of your plan/s 6(b) Public benefit and enjoyment Describe how your project will increase opportunities for people to learn about, access and enjoy their heritage 6(c) Innovation and leadership Describe how your project will lead to a positive change in community attitudes and actions towards to heritage 6(d) Capacity and commitment to undertake the project Do you have the necessary time and project and financial management skills to successfully undertake this project ? Yes No Will your project be completed within the funding time frame and be fully claimed by 26 April 2019 ? Yes No 6(e) Funding equity and cost effectiveness Will your project proceed without this funding assistance ? Yes No Are you receiving funding or support from sources? If yes, detail Yes No 7. Local Council contact I have discussed my project with the Council heritage officer or heritage advisor before lodging this application Yes No Name of Council contact 8. Applicant details We will correspond with this person Title (Mr/ Ms /Mrs) First name Last name Mailing address Post Code (day) Facsimile (day) Email @ ABN registered name ABN No. GST registered? Yes No 9. Ownership Please complete if applicant is NOT the owner of the heritage item Owner’s name Contact name Owner’s signature All owners must sign 10. Applicant’s declaration I confirm that all the information provided in this project application is true and correct to the best of my knowledge Yes No I have completed ALL questions on this project application Yes No I have attached ALL requested summaries and attached other information Yes No Signature Date Questions? Please contact Council’s Heritage Advisor, Dr Jennifer Lambert Tracey on 0419 011 860 Submitting your application Email OR post Please DO NOT send twice your completed project application and attach digital images and other information to or Post CD or hard copy to Attention: Heritage Places Grants 2018-2019 Upper Lachlan Shire Council PO Box 42 Gunning NSW 2581
2018.2019%20Heritage%20Project%20Application.docx