Place of Assembly Application

You will need a licence if you intend to: Host an event with more than 1000 people in attendance at any one point and has a duration of 2 or more hours and will be held outdoors.

Applicant Name

First Last

Address

Street Address Address Line 2 Suburb Post code

Phone Number

ABN

Event Details

Name of Event

Location of Event

Description of Event

Start Date of Event

Start Time of Event

End Date of Event (if different from start date)

End Time of Event

Sanitary Facilites

Number of unisex toilets

Number/length of urinals

Number of hand wash basins

Number of accessible toilets

Washing facilities

Number of dishwashers on site or A brief description of how you will sanitise reuse items such as crockery, utensils, cups etc.

Please upload the following documents (if applicable) to ensure your application is assessed in a timely manner.

Event site plan
Smoke free management plan (as approved by the Department of health)
Event Program
Noise Management Plan
Risk management plan
List of food and drink vendors
Temporary occupancy permit from your building surveyor
Traffic management plan
Alcohol management plan
Waste Management plan

Drop files here or

Max. file size: 64 MB.

In making this application

I declare that the information on this application is true, accurate and complete

I acknowledge that this application is not valid and approval of the application will not be provided until all application fees are paid in full

I acknowledge and agree that if an email ddress is provided on this application, I consent pursuant to section 6 of the Electronic Transactions Act 2000 to the council using that email address as a method of contact and for the provision of information by the council.

I agree that by typing my name below I have signed this application

Signature

Name of Signatory

Date

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