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Request for Personal Information of a Third Party

The completion of this form does not necessarily imply the City of Port Lincoln
will be able to provide copies of the information requested.

Council will contact the Third Party to ascertain whether they approve of the release of their personal
information to the applicant.

Applicant's Contact Details
enter contact number without spaces

It is recommended that you read our Privacy - Personal Information and Development Applications Policy 13.63.1 to ensure that the information you are requesting is able to be provided to you by Council.

Fees may be applicable with processing this application as per Council's Fees and Charges Schedule.
- Refer (Document Extraction (including Development Applications).

Third Party Contact Details

Requested Information
(you do not have to respond to this question under the Freedom of Information Act (FOI)

Applicant's Declaration
As the person (applicant) submitting this request for personal information of a third party: *