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Temporary Road Closure Application

Application Temporary Road Closure Form

* Mandatory Field

Application for Temporary Road Closure
Name of Applicant*
Address*
Name of Representative making Application*
Contact Details - Ph, Email, Fax*
Date of Proposed Road Closure*
Start Time*
End Time*
Name of Event / Purpose of Road Closure*
Name of Road/s to be closed (include details of partial closures, eg West St between South St - add map if necessary)*

Council Must exempt participants from relevant Australian Road Rules during the event. In order that Council may assess which exemptions to grant please indicate whether -

Pedestrians will be involved*
Motor Vehicles will be involved*
Arrange Accredited Person (ie CFS/Council staff) to erect signage.*
Name of person/s erecting signage
Name
Position
If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.

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51 Taylor Street
PO Box 396
Kadina SA 5554
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