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	

__________________________________________________________________________________________

Does the Commonwealth Environment Protection and Biodiversity Conservation Act 1999 (EPBC) affect your proposal?
The EPBC came into operation on 16 July 2000. It establishes an environmental assessment and approval system that is separate and distinct from the ACT system. It does not affect the validity of ACT development assessment and approval processes, but may affect the assessment track. The ACT cannot provide preliminary advice on whether a proposal falls within the definition of a controlled action, or requires referral to the Commonwealth. You should consult with the Commonwealth to determine if your proposal is a controlled action before seeking any approvals under the Planning and Development Act 2007. For information about the EPBC, including the referral process and when a referral should be made, contact the Commonwealth Department of the Environment www.environment.gov.au 

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, the Australian Valuation 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. 
Contact Details:
Environment, Planning and Sustainable Development Directorate
Customer Service Centre
GPO Box 158, Canberra City 2601
16 Challis Street, Dickson ACT 2602
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays)
Phone: (02) 6207 1923
Email: epdcustomerservices@act.gov.au	Website: www.planning.act.gov.au