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* indicates that the field is mandatory.

Is this a request for a new address and marker?

Is there current access or a driveway to the property?

If selected 'No' a Council Officer will contact you to discuss.

What road do you access your property from (main entrance)?

Is there a dwelling on the property?

What is the Lot on Plan Number?

Is this a request for a replacement marker only?

What is the property address?

What address can the rural address marker be posted to?

Requested by:

Contact phone no: