Submission Form 3A - Local Planning Scheme Amendment No. 21 Privacy Statement The Town is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to the Town's contractors for the purpose of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information, please see the Town's Privacy Statement and Collection Notice. Name*This field is required. * Required Field. Organisation/Company Phone number Address*This field is required. * Required Field. Email*This field is required. * Required Field. State how your interests are affected, whether as a private citizen, on behalf of a company or other organisation, or as an owner occupier of property.*This field is required. * Required Field. Address of Property Affected (include lot number and nearest street intersection).*This field is required. * Required Field. SUBMISSION (Provide your comments in full and any arguments to support them)*This field is required. * Required Field. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image