APPLICATION FOR CONSENT TO UNDERTAKE WORKS OR DEVELOPMENT ON CROWN LAND

Completion of this application form is required:

when an existing lease or licence exists on Crown land AND the lessee/licensee is required to seek the consent of the Minister for Climate, Environment and Water (the Minister), as the landowner, to undertake works or development on Crown land OR
when a custodian is required to seek the consent of the Minister, as the landowner, to undertake development on dedicated Crown land.

Please email the Crown Lands Program or phone 8429 7680 if you are seeking to undertake works on Crown land that is not leased, licensed or dedicated.

Please complete the relevant form available on the DEW Crown Lands web page if you are seeking consent for works or development in a National Park.

IMPORTANT INFORMATION

Prior to starting any works on Crown land or applying for development authorisation under the Planning, Development and Infrastructure Act 2016 (Development Authorisation), a Lessee/Licensee must at their own expense:

submit to the Minister a Works Plan, which takes into account the requirements (if any) set out in lease or licence agreement;
obtain written approval of the Works Plan
obtain approvals from any other regulatory authorities including those required under the Planning, Development and Infrastructure Act 2016

Failure to seek the Minister’s written approval prior to undertaking any works on Crown land is a breach of the lease/licence conditions and could possibly be determined to be an offence and be prosecutable in accordance with the Crown Land Management Act 2009.

Any changes to the proposed works that influence the initial authorisation and are necessary as a condition of a Development Authorisation must be re-submitted to the Minister for reconsideration. For further information refer to the DEW Crown Lands web page.

PLEASE NOTE

1. This form is best completed via a desktop using a modern browser.

2. This application does not require payment of a fee.

3. The information provided on this form may be used in accordance with the Government of South Australia's Information Privacy Principles. You are encouraged to read the Department for Environment and Water's Privacy Statement.

4. Please email the Crown Lands Program or phone 8429 7680 if you require any assistance.

Crown land details

For information about how to obtain land details refer to South Australian property and planning atlas.

Title reference

Volume number

Folio number

Parcel type

Parcel number

Plan type

Plan number

Hundred name

Street address

Location (Suburb/Town)

Are there additional Crown land parcels? *

YesNo

Title reference

Volume number/Folio Number

Land descriptionSection/Allotment, Plan type, Plan number

Land tenure held

Please select the tenure held over the Crown land *

LeaseLicenceDedicationNone of these

Please email the Crown Lands Program or phone 8429 7680 if you are seeking to undertake works on Crown land that is not leased, licensed or dedicated.

Lease number *

Licence number *

Person or Business lessee names *

Person(s)Business/OrganisationMix of Person(s) and Business/Organisation

Person or Business licensee names *

Person(s)Business/OrganisationMix of Person(s) and Business/Organisation

Please provide the name(s) of all registered lessees

First Name

Middle name(s)

Surname

Business/Organisation name *

ABN

ACN

Please provide the name(s) of all licensees.

First Name

Middle name(s)

Surname

Business/Organisation name

ABN

ACN

Custodian name *

Dedicated purpose *

Primary contact details

Please provide the details of the primary contact for this application.

Name *

Position *

Postal address *

Suburb/Town *

State *

Postcode *

Email *If no email address, please type no@email.com

Contact phone number *

Proposed works details

Do the proposed works exceed the boundary of the leased, licensed or dedicated land? *

Yes NoUnsure

Please provide a brief explanation of works. *

Please attach detailed plans, including measurements. Click Browse below to locate documents on your desktop/USB, etc that you wish to upload to this application. *

Browse

If approved, it is expected that the proposed works will be completed by:

Where a tradesperson is required to undertake construction works, please complete their details (if currently known).

Name

Building licence number

Business Name

ABN

ACN

Email address

Contact phone number

Additional details

Please provide any other information relevant to this application

Declaration

Full name of person submitting form *

Email address *

Date *

I declare that the information stated within this application is true and correct *

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