Request to Lease or Licence

1Introduction

2Request

You can use this form to

Request to Lease or Licence Council aerodrome land
Request to Lease or Licence a Council property

Who can use this form

Anyone

While completing this form, we will request

Proposed use of land
Lease agreement details
Applicant details
Contact details

It will take about 10 minutes to complete this form.

After you submit this form

We will send you an email receipt to confirm we have received your request
Stage 1 (Check availability)
- An internal assessment will be undertaken to determine if the land is available
- A member of the Procurement and Properties team will contact you to let you know if the land is available
- This can take 1 to 4 weeks depending on the level of detail supplied in the request
Stage 2 (If the land is available)
- This stage may involve obtaining clearances and approvals from government agencies and/or utility authorities
- A lease or licensing agreement will be drawn up and agreed to by all parties
- This can take up to 20 weeks

What happens with your information?

Information requested on this form is required by Swan Hill Rural City Council in order to process your request.

We will handle any personal information you provide on this form in accordance with the Privacy and Data Protection Act 2014. We record this information on our customer databases and make it available to relevant Council staff in line with our Privacy Statement.

You can access your personal information by contacting our Privacy Officer.

Site details

Type of Council property(Required)

Aerodrome Land – Swan Hill

Aerodrome Land – Robinvale

Hall / Community Centre

Sporting Ground and Pavilion

Other

Property name (if applicable)

Property address(Required)

Proposed use

Please describe the purpose or intended use?(Required)

This field is hidden when viewing the form

Properties only

Will the intended use of the property

Select all that apply

support and encourage diversity of programs and activities offered from Council facilities

encourage active and healthy lifestyles for people of all ages, abilities and interests

bring economic value including employment, increase the number of visitors and visitor spend

reduce environmental impact

Please describe how the intended use of the property will do the above(Required)

Have you had contact with a Council officer previously about this application?(Required)

Yes

Name of Council officer(Required)

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Properties only

Do you intend to carry out any alteration or addition to the property?(Required)

Yes

If yes, please provide details:(Required)

Do you intend to invest funds of a capital nature into the property?(Required)

Yes

If yes, please provide details:(Required)

Please attach supporting documentation

Drop files here or

Accepted file types: pdf, doc, docx, jpg, png, heic, Max. file size: 3 MB, Max. files: 3.

Occupier agreement details

What is the purpose of your request?(Required)

New agreement

Renew an existing agreement

If you are requesting a renewal, how long have you had the existing agreement with Council?(Required)

What is the agreement term you are seeking?(Required)

Please note the term offered will not exceed the maximum term specified under legislation.

What is proposed commenced date of use?

Are there any special conditions you seek to have included in the agreement if granted?

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Aerodrome only

Are you proposing to undertake any works on the land?(Required)

Yes

If yes, please provide details:(Required)

Lease agreement details

What is the purpose of your request?(Required)

New lease

Renew an existing lease

How long have you had the existing agreement with Council?(Required)

What is the lease term you are seeking?(Required)

Please note the term offered will not exceed the maximum term specified under legislation.

Are there any special conditions you seek to have included in the lease agreement if granted?(Required)

This field is hidden when viewing the form

Both Forms

Applicant details

Name(Required)

Trading name(Required)

ABN/ACN

Entity type(Required)

Incorporated association

Community Group

Sole Trader

Sporting Club

Business partnership

Trust

Individual

Company

Other

Other:(Required)

Registered legal address(Required)

Street Address City / Town State Post Code

This field is hidden when viewing the form

Property only

Does the applicant have members?(Required)

Yes

Are members charged a fee?(Required)

Yes

Number of members(Required)

Is the applicant a not-for-profit organisation under Australian Tax Office definitions?(Required)

Yes

This field is hidden when viewing the form

Both forms

Contact details

Full name(Required)

Position

Phone(Required)Include 03 for landlines

Email address(Required)

Consent and declaration

Untitled

I declare that all the information given is true and correct (Required)

Untitled

I declare I have the ability to bind the organisation represented in this Application (Required)

Untitled

I consent to Swan Hill Rural City Council using the information provided in this Application for assessment of the Application and understand details may be shared with Officers across multiple Departments to fully consider the Application (Required)

Your name