When should you use this form?		This form should be used if you want to consolidate leases as part of your Development Application.  This form must be completed and lodged with the relevant Development Application form.	

Property Details Please Print

Give details of the properties you wish to consolidate into one lease, apart from the one you have detailed in your main development application

Property 1

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________
Property 2

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________
Property 3

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________
Property 4

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________
Property 5

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________
Property 6

Block	
		Section		
					
Suburb	
		District		
					
Street Address	

__________________________________________________________________________________________

Privacy Notice
The personal information on this form is being collected to enable processing of your application. Collection of personal information is authorised by Chapters 7, 8 and 9 of the Planning and Development Act 2007. The information that you provide may be disclosed to the ACT Revenue Office and the Registrar-General’s Office. The information may be accessed by other government agencies, ACTEWAGL, ACTEW Corporation and other commercial organisations interested in development and building information. The Planning and Development Act 2007 requires the details of applications, decisions and orders to be kept on a register and made available for public inspection. Information and documentation relevant to a development application may be made available via the Internet.

Contact Details:
Environment and Sustainable Development Directorate
Customer Service Centre
GPO Box 1908, Canberra City 2601
16 Challis Street, Dickson ACT 2602
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays)
Phone: (02) 6207 1923		Fax: (02) 6207 1925		TTY: (02) 6207 2622
Email: actpla.customer.services@act.gov.au	Website: www.actpla.act.gov.au