Alteration of licence purpose or conditions application

Before you apply

Prepare the documents you will need to complete the online application form.

Supporting document/s

A site diagram including site location, boundary fencing (where grazing is a purpose), existing structures including pipelines and pump sites is required for this application.

Important information about this form

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The fields marked with an asterisk * are mandatory and must be completed in order to submit the form.
After you have submitted your form, a copy of the application can be emailed to the address entered in the form or a copy can be saved or printed.

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Licence details

Do you have your licence number?

YesNoYou can find you licence number on your latest invoice.

Enter your licence number

Identify the location of the licence use Lot/DP, street address or describe the location.

Describe the proposed alteration to purpose and or conditions.

Contact details

Full name

Email address

Phone number

Supporting documentation

Upload a site diagram including site location, boundary fencing (where grazing is a purpose), existing structures including pipelines and pump sites

To receive an email copy of your application enter your email address here or alternatively you can either print or save a copy on the next page.

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