. "*" indicates required fields Applicant detailsWe are collecting your personal information in accordance with the Information Privacy Act 2009 and our Local Laws for the purpose of processing this application. The information will be only accessed by authorised employees and other people authorised under the Local Government Act. Your information will not be given to any other person or agency unless you have given us permission, or we are required by law.Organisation/Business nameABNName* First Last Phone*Email* Responsible person and 24 hour contact number*Applicant address* Post office box or street address Address Line 2 City State Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Activity detailsType of activity/s Temporary - Hoarding/fencing/scaffolding on TRC land and/or infrastructure Temporary - Storing materials on TRC land and/or infrastructure Temporary - Placing shipping container on TRC land and/or infrastructure Temporary - Placing skip bin on TRC land and/or infrastructure Temporary - Storing construction materials on TRC land and/or infrastructure Temporary - Other structures, goods or materials on TRC land and/or infrastructure Provide details*Describe your activity.*Include nature of activity, reasons for requiring TRC land, equipment and/or structures and details about what is being storedActivity date/s*Include start and finish dates, and specific days and times activities will be conducted at the site.Location/s of activity*E.g. street address, park location, road/s, other council areas, etc.Demonstrate how you will ensure that the area safe, tidy and secure at all times.*E.g. securing the area and materials, managing rubbish and waste, WHS requirements, etc.Describe how your activity will not affect others.*E.g. time of sound, type of equipment, pedestrian access, impacts on surrounding community, etc.Upload activity set up / site map*Show location of equipment/structures, proximity to other structures, vehicles, machines, pedestrians access etc. Drop files here or Select files Max. file size: 100 MB. Will your activity impact road use?* Yes No Describe how you will manage impacts on road and foot traffic.*E.g. parking, safety, access, etc. Some activities may require a traffic management plan for vehicles and or pedestrians from a suitable qualified personUpload Traffic Management PlanMax. file size: 100 MB.Provide other relevant details and information.Upload your certificate of currency for public liability insurance.*The certificate must list TRC as an interested party and have cover for at least $20M. Drop files here or Select files Max. file size: 100 MB. Declaration* The details I have provided are true and correct and I am authorised to complete this application.
