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Page 1

Apply to use transitional land

Apply to temporarily use any of the regeneration areas in:

Southshore
Ōtākaro Avon River Corridor
South New Brighton
Brooklands.

Some of the land in the Ōtākaro Avon River Corridor still sits with Toitū Te Whenua Land Information New Zealand (LINZ). If you are not sure that you are applying for Council land, please complete an expression of interest before completing this form.

As part of your application you will need to provide a:

Map or image of the area you wish to use.
Health and safety management plan.
Public liability insurance certificate
Incorporation certificate if you are a society or trust.

Your details

Name

Phone

Postal address including postcode

Are you the primary contact for this application?

YesNo

Primary contact details

Primary contact name

Primary contact email

Primary contact phone

Describe the group or organisation do you represent

Name of your company, charity, society or trust

Address of your company, charity, society or trust?

Please attach a copy of your registration/incorporation certificate

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Risks and responsibilities

Please attach a copy of your health and safety management plan

What are the environmental risks associated with your project and how will you manage them?

Include items such as noise, waste or air/water discharge. Please note that some projects may require a separate environmental management plan.

What are the hazards associated with your project and how will you manage them?

Include items such as traffic, equipment or chemicals. Please note that some projects may require a separate hazard management plan and/or a temporary traffic management plan.

Public liability insurance

You must have one million dollars of public liability insurance cover for your project or activity.

Please confirm that you have this insurance, or are seeking it.

I already have this insurance coverI am seeking this insurance coverThis protects you as the organiser against claims made by a third party for damage to assets. Any approvals will be conditional on obtaining this insurance.

Please attach a copy of your public liability insurance certificate

Page 5

Additional information

Provide any other additional information we need to understand and assess your request

Attach supporting information

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Page 1

Apply to use transitional land

Your details

Page 2

Your project

Land and location

Page 3

Project requirements