APPLICANT DETAILS

ORGANISATION ADDRESS

DETAILS OF REQUEST

PROPOSED LIGHTING DATES

NOTE: You can apply up to six months before your proposed dates. Requests will generally be considered for one to three nights only, with longer periods only approved in exceptional circumstances.

Personal Information Protection Statement

You are providing personal information to the Department of State Growth, which will manage that information in accordance with the Personal Information Protection Act 2004. The personal information collected here will be used by the Department for the purpose of dealing with your application. Failure to provide this information may result in your application not being processed or records not being properly maintained. The Department may also use the information for related purposes, or disclose it to third parties in circumstances allowed for by law. You have the right to access your personal information by request to the Department and you may be charged a fee for this service

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