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STORMWATER DRAINAGE CONNECTION -

APPLICATION FORM (Step 3.)


APPLICANT’S DETAILS
Name: ……………………………………………………………………………………………….
Email: ……………………………………………………………………………………………….
Address for correspondence: ………………………………..………………………………………
Contact phone number(s): …………………………………………………………………………..

SITE ADDRESS: …………………………………………………………………………………..

TYPE OF DEVELOPMENT
 Single Dwelling  Multi-Unit Development
 Commercial Development  Construction of additional dwelling on an allotment

The following documents and payments are to be submitted with this assessment application:

Drainage Design Drawings (PDF) Attached 


Hardcopy A1 drawings maybe required upon request
Drainage Computations (PDF) Attached 
Hydraulic Grade Line (PDF) Attached 
Copy of the Current Property Title (PDF) Attached 
Assessment Fee: $128.00* (RC:210) Attached 
Inspection Fee: $132.00* (RC:220) Attached 
*(fees are valid until 30 June 2018)

Signature of Applicant: …………………………….……………………………………………

Print Name: ……………………………….………………………………………………………

Date: ……………………………….………………………………………………………………

Completed forms and fee payment may be emailed to boroondara@boroondara.vic.gov.au or mailed to


City of Boroondara, Private Bag 1, CAMBERWELL VIC 3124. If you require further information please
contact the City of Boroondara on (03) 9278 4444 or email boroondara@boroondara.vic.gov.au.
____________________________________________________________________________________________

Privacy Statement

The personal information requested on this form is being collected by Council for the purpose of assessing connections to Council’s
stormwater system. The personal information will be used solely by Council for this primary purpose or directly related purposes.
Council will not disclose this information. The applicant understands he or she may apply to Council for access to and/or amendment
of the information. Requests for access and/or correction should be made to Council's Privacy Officer.

Please be advised that any and all approvals, information and / or comments contained within this document is / are subject
to compliance with the appropriate Acts and Regulations and any and all previous or current Approvals. This document is
not a permit.

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