Application for a Local Law Permit - Camping on Council-managed land Name(Required) First Last Company/Organisation Name Name Primary Contact Number(Required)Secondary Contact NumberEmail(Required) Location of camp site(Required) Street Address Town / Suburb Postcode Arrival Date(Required) DD slash MM slash YYYY Departure Date(Required) DD slash MM slash YYYY Number of people(Required)Number of vehicles(Required)Number of animals(Required)Dogs, cats, horses etc.Number of tents/caravans/other structures(Required)Sanitary/waste disposal facilities you intent to use (waste management plan):(Required) For Company/Group applicants:Max. file size: 128 MB.Provide a copy of your Public Liability Insurance Certificate of Currency with this application. (minimum cover $20,000,000).Declaration(Required) If my/our application is granted, I agree to abide by any terms and conditions that may be imposed on the permit by Strathbogie Shire.Declaration(Required) I declare that to the best of my knowledge and belief all the above information is true and correct and I agree to abide by any conditions which may be imposed on a permit by an Authorised Officer. Furthermore I understand and acknowledge the fee paid with this application is not refundable should this application be refused.Signature(Required) Reset signature Signature locked. Reset to sign again