Online Form - No Spray Register Application

SHIRE OF DENMARK

NO SPRAY REGISTER APPLICATION

FOR ROAD OR RESERVE FRONTAGE MAINTENANCE

The Shire of Denmark maintains roadsides and/or reserves with a combination of slashing and selected herbicide sprays to control the growth of vegetation and weeds.

If you wish to be excluded from the herbicide spraying program you must apply to Council to have the frontage and/or sides of your property excluded from the spraying program.

If you choose to join the No-Spray Register, vegetation control on your property frontage and/or sides, may be reduced and it will be your responsibility to maintain the area/s via other methods.

You can only apply for exclusion for the property that you own or occupy, for further information please read the Shire's No Spray Register Policy before completing this form.

Are you the landowner or do you have written consent from the landowner to submit this application *

I am the landowner

I am submitting the landowners written consent

Maximum size of ALL attachments is 976.56 MB

Full Name *

Phone (Home):

Phone: (Mobile):

Email Address: *

Property Address *

Postal Address (if different from above)

Specify Areas of Exclusion (must be Council Vested Land) *

Frontage
Left Boundary
Right Boundary
Rear Boundary

Other (please specify)

Please describe the proposed method of maintenance by landowner: *

Declaration

In making this application I hereby acknowledge that:

I have chosen to refuse this service and that I accept that I will undertake to control weeds in the above areas to at least the same standard that can be achieved by the herbicide control method.
If the Shire’s standards for weed control are not being met, the Shire may conduct spraying operations at this property.
My application will only be valid for a maximum two (2) year period and that I will be required to re-apply should I wish to remain on the No-Spray register.

I (enter full name) *

of (enter address) *

declare that the information I have provided is true and correct and I am authorised to submit this application, I am aware that it is an offence to provide false and misleading information. *

AgreeDo not Agree

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