Sch 2Form for submission to the Heritage Council

Schedule 2—Form for submission to the Heritage Council

Section 44(2) of the Heritage Act 2017

Regulation 7

1. Submitter details

If you are lodging this form on behalf of a body corporate, organisation or natural person, please provide the following information as applicable:

*First name of natural person:

*Last name of natural person:

2. Executive Director's recommendation

Place or object name or description of land:

Location (address or GPS coordinates):

Date of recommendation:

Recommendation was to: *Include/*Not include/*Amend/*Not amend

3. Purpose of submission

*Recommendation to *include/*not include

Note: This submission is in relation to the recommendation of the Executive Director to include or not include a place or object in the Heritage Register and must relate only to whether or not—

• a place or object is of State-level cultural heritage significance; or

• whether objects recommended as objects integral to a place are integral to understanding the cultural heritage significance of the place; or

• whether additional land is integral to understanding the cultural heritage significance of the place; or

• in relation to the recommended extent of registration; or

• in relation to the permit policy or permit exemptions.

This submission:

*Supports the Executive Director's recommendation.

*Does not support the Executive Director's recommendation.

*Supports the "Extent of Registration" recommended by the Executive Director.

*Supports the categories of works or activities that can be carried out without a permit (permit exemptions) recommended by the Executive Director.

*Does not support the "Extent of Registration" recommended by the Executive Director.

*Does not support to the categories of works or activities that can be carried out without a permit (permit exemptions) recommended by the Executive Director.

*Other (please state other reason for submission):

Reasons for submission:

Please attach documents in support of your submission.

*Recommendation to *amend/*not amend a place or object in the Heritage Register

Note: This submission is in relation to a recommendation of the Executive Director to amend or remove a place or object included in the Heritage Register.

This submission: