Application for a Local Law Permit - Trading from a road or road reserve Name(Required) First Last Company Name(Required) Name Postal Address(Required) Street Address Town / Suburb Postcode Primary Contact Number(Required)Secondary Contact NumberEmail(Required) Description of goods/services being sold:(Required) Location of goods/services being sold:(Required)Road name and nearest street number Type of Permit(Required) Annual Temporary Date of trading( If temporary ) DD slash MM slash YYYY Public Liability Insurance Certificate of Currency(Required)Max. file size: 50 MB.Provide a copy of your Public Liability Insurance Certificate of Currency with this application. (Insured for $20 million)Strathbogie Shire Council does not accept any responsibility for damages or injury to property, persons or third parties in granting this permit.Declaration(Required) I declare that all the above information is true and correct and I agree to abide by the conditions of the permit. 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