Request for Personal Information - Ratepayer or Resident

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

Some building/house plans or documents are covered by copyright laws
- you may be able to view the documents but any copies must be sought from the designer/architect.

Applicant's Contact Details
You can find your assessment number on your rates notice

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 provided to you by Council.

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

Requested Information
I would like to request: *

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