COMMUNITY AMENITY LOCAL LAW NO. 1 Part 7 Section 59 - House to House Trading APPLICATION FOR PERMIT Organisation Contact name Postal address Residential address Telephone Fax Email I, on behalf of (Name) (Organisation name) HOUSE TO HOUSE TRADING wish to apply for a permit I wish to be able to: 2017/18 Fees & Charges (Signed by Applicant) Permit Fee $ 215.00 (Date) Date Paid Receipt No: (Signature of Supervisor where required) CHECKLIST (Name of Supervisor) Application completed & signed Payment included Insurance copy of current Certificate of – Currency (to the of no less than $10 million) attached Completed forms and payment can be returned in person to 49 Victoria Street Kerang or 23 King Edward Street Cohuna, or by mailing to Gannawarra Shire Council PO Box 287 Kerang Victoria, 3579 • • Phone 5450 9333 • •
COMMUNITY AMENITY LOCAL LAW NO. 1 Part 7 Section 59 - House to House Trading APPLICATION FOR PERMIT Organisation Contact name Postal address Residential address Telephone Fax Email I, on behalf of (Name) (Organisation name) wish to apply for a HOUSE TO HOUSE TRADING permit I wish to be able to: 2017/18 Fees & Charges Permit Fee $ 215.00 (Signed by Applicant) (Date) Date Paid Receipt No: (Signature of Supervisor where required) CHECKLIST Application completed & signed (Name of Supervisor) Payment included Insurance – copy of current Certificate of Currency (to the of no less than $10 million) attached Completed forms and payment can be returned in person to 49 Victoria Street Kerang or 23 King Edward Street Cohuna, or by mailing to Gannawarra Shire Council • PO Box 287 • Kerang Victoria, 3579 • Phone 5450 9333 •
application-2017-18-house-to-house-trading-permit-ll59.docx