Occupy Council controlled land 1Introduction2Permit type3Location details4Occupancy information5Additional information6Review You can use this form to apply for a permit to occupy Council land, for: busking a charity stall door-to-door collection filming fundraising promotion roadside vending Before you begin: It takes about 10 minutes to complete this form and you will need to: Tell us your name, address, email address and phone number For all permits except busking, you will need to supply us with a copy of your public liability insurance with a minimum coverage of $20 million. Read the City of Boroondara Privacy Statement Read and accept the Indemnity statement included in the online form If you are applying for a Roadside vendor permit you will also require: A Dimension site plan Details of your vehicle including width and length A copy of your FoodTrader Certificate (if you have one) If you are representing a charity or not for profit, a letter from the organisation After you complete this form we will: Send you an email about your request Send you information about how to pay for your permit, if successful We may contact you about your request, if required. What happens with your information? We record your information on our customer databases and make it available to relevant Council staff in line with our Privacy Policy What type of permit are you applying for? * RequiredPlease selectBuskingCharity stallDoor-to-door/intersection collectionFilmingFundraising (no stall)NaturestripPromotionRoadside VendingOther (fireworks display, political permit, etc.)Please note: you can only apply for a busking permit if the primary applicant is a resident of Boroondara.You'll need to upload a copy of your public liability insurance of up to $20 million at the end of this form. Please provide details on the type of permit you're applying for * Required Start date of activity * RequiredPlease note: We need 20 business day’s notice before you undertake the activity. Some permit applications may required additional processing time due to the potential involvement of other internal departments and/or external authorities. It may therefore be appropriate to consult Councils Amenities Permits team before lodging your application on 0392784444. DD slash MM slash YYYY Start time * RequiredTime (H)Time (M)AM/PM-123456789101112-00153045-AMPMEnd date of activity * Required DD slash MM slash YYYY End time * RequiredTime (H)Time (M)AM/PM-123456789101112-00153045-AMPMIf your application new or existing? * Required New application Changing an existing permit Please provide the Permit number * Required The location of your activity? * RequiredThe location of your activity? * RequiredYou can select a location using the mapZoom in and drag the 'map pin' to select a precise locationSuburb(s) or intersection(s) where you intend to run your collection * Required If your preferred location is not available, please nominate an alternativeYou can add up to 4 alternative locations. Use the + icon to add an additional addressAddressSuburb Busker details (applicant one) * Required First name Last name Email * Required Enter Email Confirm Email Your residential address * Required Street address or PO Box Address line 2 Suburb / City Post code Phone number * RequiredWill there be a second busker?Please note: a maximum of two buskers can perform together Yes No Busker details (applicant two) * Required First name Last name Email * Required Enter Email Confirm Email Phone * RequiredWill there be at least one busker on-site who is 18 years and over? Yes No Please nominate an adult supervisor * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredType of busking * RequiredFor example: singing, playing a musical instrument, magic tricks, etc. What furniture or equipment will you be using? * RequiredFor example; chairs, music stands, etc Will the total money collected go to charity? * Required Yes No Name of the charity * Required Your name * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredResidential or business address * Required Street address or PO Box Address line 2 Suburb / City Post code Will you be the on-site contact during the filming or photography? * Required Yes No Please nominate an on-site contact * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredProject name * Required Are you a student undertaking filming or still photography as part of your studies? * Required Yes No Please select your type of filming project * Required Motion picture photography Commercial stills photography During filming, there will be: * Required People on location Vehicles on location Number of cast membersNumber of crew membersNumber of carsNumber of trucksNo. of oversized vehicles (7.5m/over 4.5t)Location of vehicles Street address or PO Box Address line 2 Suburb / City Post code Will there traffic or pedestrian management in place during filming? * Required Yes No Name of company supplying traffic or pedestrian safety management * Required Contact person from traffic/safety company * Required First name Last name Phone number * RequiredStart time roads will be affected * RequiredTime (H)Time (M)AM/PM-123456789101112-00153045-AMPMEnd time roads will be affected * RequiredTime (H)Time (M)AM/PM-123456789101112-00153045-AMPMWill the production team need a unit base? * Required Yes No I would like to place the unit base in: a park or garden a sportsground Please select if any of the following will be involved in your production Firearms/weapons (including imitation) May have environmental impact Amplified music or sound Stunts May cause offense or concern to the public Other safety concerns As your production may cause offense or concern to the community, please provide a brief explanation of what will happen in the production. * RequiredYour name * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredIs this activity being run by an agent on behalf of another group or organisation? * Required Yes No Name of group or organisation * Required Name of contact person * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredABN/ACN Please tell us what type of furniture will be used: * RequiredIs the location(s) requested on this application in front of any shop(s) connected to the event * Required Yes No Business name * Required Store contact * Required First name Last name Position title of store contact Contact phone number * RequiredYour name * Required First name Last name Email * Required Enter Email Confirm Email Phone * RequiredPlease describe the types of materials will be stored on the naturestrip? * RequiredYour name * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredPlease outline why you require the permit and whether you intend to place any items on Council land. * RequiredYour name * Required First name Last name Email * Required Enter Email Confirm Email Phone number * RequiredYour residential address * Required Street address or PO Box Address line 2 Suburb / City Post code Registered business name * Required ABN/ACN * Required Registration number of Vendor vehicle * Required Make of Vehicle * Required Model of Vehicle * Required Length of Vehicle * Required Width of Vehicle * Required What furniture or Equipment will you be using? * RequiredFor example table, chairs, queuing area.Will the money be collected go to a registered charity / not for profit? * Required Yes No Name of charity / Not for profit * Required The following attachments are required with your application * Required Certificate of Currency/Certificate of Liability for a minimum of $20 million Copy of confirmation letter from charity The following attachments are required with your application Copy of confirmation letter from charity The following attachments are required with your application * Required Copy of letter to residents Letter from school or university confirming project Certificate of currency/certificate of liability of $5 million (commercial stills) or $10 million (filming motion picture) Site plan Traffic management (if required) The following attachments are required with your application * Required Copy of confirmation letter from charity Certificate of Currency/Certificate of Liability for a minimum of $20 million A dimensioned site plan for roadside vending detailing up to 4 proposed locations to trade from, and any furniture I may wish to place out. The following attachments are required with your application * Required Certificate of Currency/Certificate of Liability for a minimum of $20 million A dimensioned site plan for roadside vending detailing up to 4 proposed locations to trade from, and any furniture I may wish to place out. The following attachment is optional A copy of my FoodTrader approval certificate (for more information, see our "Register a temporary or mobile food business" page) Your attachments * RequiredYou can upload a maximum of 5 files at 4MB each.Allowed file types: jpg, jpeg, png, doc, docx, pdf Drop files here or Select files Accepted file types: jpg, jpeg, png, doc, docx, pdf, Max. file size: 4 MB, Max. files: 5. Maximum file size - 4 mega bytes. Indemnity statement * RequiredThe owner, completing this application form, agrees to comply with permit conditions and guidelines and to indemnify the Council from and against any loss, damage or expense (including legal costs) arising from any claim, demand, action, suit or proceeding that may be brought by any person against the Council in respect of the death or injury of any person or the loss or damage to any property, where such death, injury, loss or damage arises out of or in connection with the owner’s actions on any land owned or managed by the Council and is caused by the negligent act or omission of the owner of the owner’s employee, agent, contractor or client. Provided that the owner shall not be liable for any liability or loss to the extent that such loss or damage is caused by the error, omissions or actions of the Council. Where negligence is found to have been contributory, each party shall bear full responsibility in accordance with the party’s fault. I agree to the Indemnity statement I have read and accept Council's Privacy Policy and understand how my information will be used. * Required Yes Please review your information. If you notice errors please use the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields:exclude[87,175,127,97,62,23,94]}CommentsThis field is for validation purposes and should be left unchanged.
