Neighbours Consultation

FOR CONCURRENCE AND SITING LODGEMENTS

This form allows Cornerstone Building Certification to inform Council of your neighbour consultation efforts, ensuring your Concurrence Agency Application submission is processed in a timely manner. Failure to provide this information may cause significant delays.

Cornerstone Project Number

If you have a project number that we have supplied you from your current application for this address.

Development Site Address*

If you do not yet have an address, please provide us with the Property (lot on plan) details you have provided us with during the application process.

Site photos

To assist with our assessment and lodgement, please provide photographs of each relevant boundary on your development site. These images help us gain a comprehensive understanding of the existing conditions. You can easily upload these photos using the file upload feature available in this section of the form.

Front boundary

Rear boundary

Left boundary

Right boundary

AFFECTED PROPERTIES DETAILS

Development Site Boundary proposing an impact on adjoining sites*

Front Boundary - Required

Left Hand Side Boundary only - Required

Right Hand Side Boundary only - Required

Rear Boundary only - Required

Affected site/s to the left hand side boundary

How many affected sites are on this left side boundary*

Site 1

Left hand side - Affected Property Address*

Left hand side - Date of Consultation*

Left hand side - Is the affected neighbour making a response to Council?*

Left hand side - please state the Neighbours reasons for their planned response*

Site 2

Left hand side site 2 - Affected Property Address*

Left hand side site 2 - Date of Consultation*

Left hand side site 2 - Is the affected neighbour making a response to Council?*

Left hand side site 2 - please state the Neighbours reasons for their planned response*

Site 3

Left hand side site 3 - Affected Property Address*

Left hand side site 3 - Date of Consultation*

Left hand side site 3 - Is the affected neighbour making a response to Council?*

Left hand side site 3 - please state the Neighbours reasons for their planned response*

Affected site/s to the right hand side boundary

How many affected sites are on this right side boundary*

Site 1 - Right Side

Right hand side site 1 - Affected Property Address*

Right hand side site 1 - Date of Consultation*

Right hand side site 1 - Is the affected neighbour making a response to Council?*

Right hand side site 1 - please state the Neighbours reasons for their planned response*

Site 2 - Right Side

Right hand side site 2 - Affected Property Address*

Right hand side site 2 - Date of Consultation*

Right hand side site 2 - Is the affected neighbour making a response to Council?*

Right hand side site 2 - please state the Neighbours reasons for their planned response*

Site 3 - Right Side

Right hand side site 3 - Affected Property Address*

Right hand side site 3 - Date of Consultation*

Right hand side site 3 - Is the affected neighbour making a response to Council?*

Right hand side site 3 - please state the Neighbours reasons for their planned response*

Affected site/s to the rear boundary

How many affected sites are on this rear boundary*

Site 1 - Rear

Rear site 1 - Affected Property Address*

Rear site 1 - Date of Consultation*

Rear site 1 - Is the affected neighbour making a response to Council?*

Rear site 1 - please state the Neighbours reasons for their planned response*

Site 2 - Rear

Rear site 2 - Affected Property Address*

Rear site 2 - Date of Consultation*

Rear site 2 - Is the affected neighbour making a response to Council?*

Rear site 2 - please state the Neighbours reasons for their planned response*

Site 3 - Rear

Rear site 3 - Affected Property Address*

Rear site 3 - Date of Consultation*

Rear site 3 - Is the affected neighbour making a response to Council?*

Rear site 3 - please state the Neighbours reasons for their planned response*

To help Cornerstone inform the Council of your consultation efforts and ensure your Concurrence Agency Application is processed without delay, please confirm your agreement below.

By typing your name in the field and clicking "Submit," you, the owner/s or authorised applicant/s for this application confirm that:

You have consulted the affected neighbouring properties that you have provided in this document regarding the proposed development.
Plans have been presented to them, and they have been advised of their right to respond to the development through the Council.
You declare this information to be true and correct.

Applicants Name/s*

Signed by, or, on behalf off the Property Owner/s

07-06-2025