DEMOLITION APPLICATION GUIDE - City of Darebin

Demolition Application Guide (Cont).Municipal Building SurveyorCity of DarebinPO Box 91Preston VIC 3072Tel: 8470 8899Fax: 9261 4833Email: building@darebin.vic.gov.auOWNER/OWNERS AGENT DECLARATION FORMDear Sir,RE: DEMOLITION / REMOVAL OF BUILDING/S LOCATED AT……………………………………………………I declare that I am the owner or agent appointed by the owner intending to carry outdemolition / removal works at the above property.I fully understand my obligations under the Building Act 1993, Building Regulations 2006,Ministers Guidelines, News Bulletins and Practice Notes issued by the BuildingCommission.I am also aware of the requirement for this application to be referred to all relevantreporting authorities associated with this property and that NO WORKS ARE TOCOMMENCE until the issue of a building permit for the demolition/ removal of thebuilding/s and the Asset protection Permit is gained.Signed: …………………………………….Name:………………………………………………………………….Address for Correspondence: ……………………………………………..Date:…………………………………….Document Master List Document No. 40Obj. Ref. A191439 Revision No. 12Last Printed 4 July 2012Page 2 of 7