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Street Pole Poster



DETAILS OF ALLEGED PERPETRATOR (IF AVAILABLE)



Event Details



Poster Details

Category A B C D Other




Receipt Details



Email Details (if Council)


I, the undersigned, being the applicant, do hereby acknowledge that I have read and understood the conditions on the reverse of the application form pertaining to the granting of the permission sought in this application and do further acknowledge and agree that I shall reimburse the Council for the cost of removal of any poster/s, authorized in terms of this application which remains after the authorised date.



Document Date Document Type Document Name Action