Application for removal of s77A restrictions on use of a former perpetual lease

Before you apply

This form should be used to apply for the removal of s77A restrictions on use of former perpetual lease land subject to a restriction under Part 4A of the Crown Lands Act 1989, pursuant to s.5.57 of the Crown Land Management Act 2016
Separate applications are required for each individual title.
If the title has multiple Lot/DPs i.e. is an auto consol/folio – simply add one of the Lot/DPs.
Please read the FAQs (PDF, 194 KB) before submitting your application.
This application must be submitted by the registered title holder or a person authorised to submit on their behalf.
Prepare any relevant supporting documents you may have to support your online application form.

Supporting documentation

A declaration letter signed by all title holders – download, print and upload the completed scanned – Consent of title holders (PDF, 95 KB).
Copy of any relevant development/changed land use proposal/s, if applicable
Copy of alternative conservation agreement, if applicable
Evidence of authority to act where applicable

Application fee

You will be invoiced for the application fee (currently $799) once your application is accepted.
Additional Land Registry Services fees will be charged at registration, if the application is approved.
Applications are subject to assessment with no guarantee of the outcome.

Important information about this form

By selecting the Submit button, you have read and agreed to the department's Privacy statement.
The fields marked with an asterisk * are mandatory and must be completed in order to submit the form.
After you have submitted your form, a copy of the application can be emailed to the address entered in the form or a copy can be saved or printed.

Application for removal of s77A restrictions on use of a former perpetual lease

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Applicant details

Are you the current landholder or are you authorised to act on their behalf?

Current landholderAuthorised representative

Supporting documentation required

You will be required to upload evidence you are authorised to act on behalf of the current landholder.

Authorised representative details

Your full name

Relationship to the landholder

For example lawyer or a type of relative i.e son.

Your preferred contact method

Your email address

Your phone number

Your postal address

All correspondence to be sent to

You only

Landholder only

Both you and the landholder

Landholder contact details

Full name

Preferred contact method

Email address

Phone number

Postal address

Your contact details

Full name

Preferred contact method

Email address

Phone number

Postal address

Particulars of freehold land

Enter Lot/DP

Supporting documentation

Upload evidence you are authorised to act on behalf of the landholder

Upload the declaration letter signed by all title holders to support this application

Upload any relevant development/changed land use proposal/s, if applicable..

Upload copy of alternative conservation agreement, if applicable

Upload any other documentation to support your application

To receive an email copy of your application enter your email address here or alternatively you can either print or save a copy on the next page.

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Contact Information