Temporary Road Closure Procedure - Tablelands Regional Council

NAME OF THE ROAD/S AFFECTED:PROPOSED ALTERNATIVE ROUTE (Please attach a copy of the approved Traffic Guidance Scheme)Details:TRAFFIC CONTROL COMPANY IMPLEMENTING THE TRAFFIC GUIDANCE SCHEME:(Note: The company must be registered with TMR if the closure is on a state controlled road)Details:TMR Registration Number: ________INTERESTED PARTIES THAT WILL BE AFFECTEDPlease indicate the interested parties that will be affected:Police(Additional permit required)Taxi operatorsBusiness operatorsAmbulanceBus operatorsGarbage collectorsFireLocal residentsTourism operatorsTMR(Additional permit required)Other(Provide details)By signing this application, the applicant is acknowledging that they have read and understood the procedurefor a TRC Temporary Road Closure.APPLICATION TO BE SIGNED BY THE RESPONSIBLE PERSONName: Signed: Date:Please submit this application together with all attachments by post or hand deliver to a TRC CustomerService Centre or email to info@trc.qld.gov.au marked Attention: Chief Executive Officer.OFFICE USE ONLYReceived by (Name): Signed: Date received:Page 2 of 2QA13/015/1 V1 08/2013