APPLICATION TO ISSUE AN EASEMENT

1. This form is to be used to apply for an easement pursuant to section 28 of the Crown Land Management Act 2009. It is best completed via a desktop using a modern browser

2. Submission of this form requires payment of $495.00 (GST exempt) by MasterCard or Visa (please note application fees may not be refundable). Other application form and payment options are available.

3. Before lodging this application, you should consider other available options such as purchasing the land. Where another option is available, an easement may not be granted.

4. If approved, it is the applicant's responsibility to lodge a plan showing the location of the easement with Land Services SA. The cost of preparing this plan will be the applicant's responsibility, along with any additional fees which may be incurred.

5. 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.

6. Please email the Crown Lands Program or phone 8429 7680 if you require any assistance. Further information can be found at: https://www.environment.sa.gov.au/topics/crown-land/crown-land-tenure/easements.

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

Location (Suburb/Town)

Are there additional Crown land parcels? *

YesNo

Title reference

Volume number/Folio number

Land descriptionSection/Allotment, Plan type, Plan number

Is the Crown land dedicated? *

YesNo

Custodian name *

Custodian contact name

Custodian contact email address

Custodian contact phone number

Easement applicant details

Applicant type *

Title

First name *

Middle name(s)

Last name *

Legal/Business name *

ABN

ACN

Postal address *

Suburb/Town *

State *

Postcode *

Application Contact Name

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

Contact phone number *

Are there any other private landholders? *

YesNo

Title

First name *

Middle name(s)

Last name *

Postal address *

Suburb/Town *

State *

Postcode *

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

Contact phone number *

Are there any other applicants? *

YesNo

Title

First name *

Middle name(s)

Last name *

Postal address *

Suburb/Town *

State *

Postcode *

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

Contact phone number *

Are there any other private landholders? *

YesNo

Please complete an Additional applicants form and save it to your desktop/USB, etc. Click Browse below and locate the saved form to upload it to this application.

Additional applicants form upload

Browse

Private land must be held appurtenant to the Crown land the easement is sought over. Please provide details below.

Title reference

Volume number

Folio number

Easement details

Please specify other purpose *

Proposed easement rights *

Schedule 5 Real Property Act 1886Schedule 6 (short form) Real Property Act 1886 Schedule 6 (long form) Real Property Act 1886 Other

Click Browse below to locate the proposed easement rights on your desktop/USB, etc and upload to this application.

Browse

Conveyancer/Legal Practitioner details

A registered conveyancer/legal practitioner will be required for an easement application. You may still submit this application form if you have not currently engaged a conveyancer/legal practitioner, but will need to provide the relevant contact details to the property officer who processes your application.

Full Name

Business name

Postal address

Street address

The identity of the client has been verified

YesNo

The conveyancer/legal practitioner has the 'right to deal'

YesNo

Additional details

Please add any other information relevant to this application.

Click Browse below to locate any additional information on your desktop/USB, etc that you wish to upload to this application.

Browse

i.e. relevant plans, etc.

Submitter details

Full Name *

Business name

Email address *

Contact phone number *

Submitter's role

Conveyancer/Legal practitionerBusiness/organisation representativePrivate landholderOther

Specify role *

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

Date *

Are you the point of contact for this application? *

YesNo

Please provide the name of the point of contact, and email/contact phone number if not already provided on this form

Payment details

Payment

Receipt number

Save and Complete Later