Online Permit Application Form

Business Permit ID
Application Information

When you know which permits are required for your business and you have the necessary information ready, submit your application using this form. Note: It is highly recommended that you speak to our Business Engagement Coordinator prior to completing this form to determine if a pre-application meeting is required. Most businesses will require registrations or permits in order to commence trading. You must complete this application form to begin the approval process for your business or community group.

At any stage when filling in the form you can use the 'Save and continue later' button at the bottom of each page to save your application and return to it later. You will be sent an email with a link to return to the form when you are ready to continue filling it in.

If you require any assistance completing the form please contact the Business Engagement Coordinator on 03 5321 6122 or business@hepburn.vic.gov.au

After you submit your application:
- You will receive an automatic email response confirming that your application has been received by council.
- Please note that your application will not be processed until payment has been made. The fee will be calculated and you will be contacted by a Customer Service Officer for payment or alternatively we can provide an invoice. (Please note your application will not be processed until the payment has been made.)
- Your application form will be forwarded to the relevant council departments for assessment and you may be contacted by them for more information. You will receive any request for further information by your email or phone provided on the application form.

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Private building surveyor details
Private building surveyor engaged*
Have you already engaged your private building surveyor?
- Yes
- No
PBS name*
Given Name(s) Surname
PBS trading name*
PBS email
PBS contact number*

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Applicant details
Applicant Name*
Given name(s) Surname
This will be used for all correspondence during the submission stage of this application.
Applicant phone*
Applicant email*
This will be used for all correspondence during the submission stage of this application.
Applicant residential address*
Street Address Locality State Postcode
Postal address*
Is there a different postal address?
- Yes
- No
Applicant postal address*
Postal Address Locality State Postcode
Primary language used?
Primary contact*
Is there an alternative primary contact for communication during the processing of this application?
- Yes
- No
Primary contact name*
Given name(s) Surname
Primary contact email*
Is there an alternative primary contact for communication during the processing of this application?
Primary contact phone number*
Primary contact role*
Please provide details of the role of the primary contact that is detailed above.
Property owner*
- Yes
- No
Business owner*
Are you the business owner?
- Yes
- No
Agent details*
What role are you filling in completing this form on behalf of either the property or business owner?

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Business details
Please provide all the relevant details about the business that this application refers to.
Business trading name
If you have not yet registered your business and trading name, you can submit this information to the Council at a later time.
Australian Business Number (ABN)
Home-based business*
Is the business a home-based business?
- Yes
- No
Business trading address*
Street Address City State Post Code
Business operation*
Is the business to be operated by an individual, partnership or company?
- Individual
- Partnership
- Company
Partnership name*
Company name*
Australian Company Number (ACN)*
Business status*
- New
- Existing
Number of full time staff*
Number of part time staff*

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Building permit
Practitioner/Architect*
Given name(s) Surname
Practitioner/Architect category and class*
Practitioner/Architect category and class
Practitioner/Architect registration number*
Practitioner/Architect registration number
Practitioner/Architect address*
Street Address City State Postcode
Practitioner/Architect 2
- Add another Practitioner/Architect
Practitioner/Architect 2*
Given name(s) Surname
Practitioner/Architect 2 category and class*
Practitioner/Architect 2 category and class
Practitioner/Architect 2 registration number*
Practitioner/Architect 2 registration number
Practitioner/Architect 2 address*
Street Address Locality State Postcode
Practitioner/Architect 3
- Add another Practitioner/Architect
Practitioner/Architect 3*
Given name(s) Surname
Practitioner/Architect 3 category and class*
Practitioner/Architect 3 category and class
Practitioner/Architect 3 registration number*
Practitioner/Architect 3 registration number
Practitioner/Architect 2 address*
Street Address Locality State Postcode
Owner builder*
I intend to carry out the work as an owner-builder
- Yes
- No
Cost of building work*
Is there a contract for the building work?
- Yes
- No
Contract Price*
Estimated cost*
Please state the estimated cost of the building works (including the cost of labour and materials)

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Accommodation registration
- For businesses operating an accommodation or health business, you will need to complete this section.
- Registration of your business applies until 31 December each calendar year**
- If the premises is self contained, i.e. has its own kitchen and bathroom facilities and is only used by the one group per booking, registration is not required.
Accommodation Type*
- Hotel / Motel
- Rooming House
- Hostel
- Student Accommodation
- Holiday Camp
- Residential Accommodation
- Bed and Breakfast
Maximum number of guest accommodated*
Number of rooms*
Food service*
Will food be provided at the accommodation?
- Yes
- No
You must have food act registration in order to provide food. If you do not already have food act registration please return to the beginning of this form and select Food registration and complete the relevant section.

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Health premises registration
If you are a mobile hairdresser or a mobile beauty therapist, please register your primary place of business. Mobile personal care and body art businesses that conduct skin penetration are not permitted.
Health business type*
- Beauty therapy
- Hairdressing
- Piercing / skin penetration
- Tattooing
- Colonic irrigation
- Mobile health premises
Please choose the business activity that your business conducts
File Upload
A layout plan of the premises, including a detailed plan of all food handling and storage areas.
Drop files here or

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Domestic animal business registration
Under current legislation, all domestic animal businesses must be registered with the Hepburn Shire and comply with the appropriate mandatory Code of Practice. Domestic animal businesses include:
- animal pounds either run by Council or a Council contractor
- breeding businesses (cats and/or dogs)
- training facilities for dogs
- pet shops
- animal (welfare) shelters
- dog/cat rearing premises.
Responsibilities of a domestic animal business as defined under the Domestic Animals Act 1994 can be found the Department of Agriculture website.

All domestic animal businesses must be registered annually with the Hepburn Shire. Hepburn Shire Council require an inspection of the facilities prior to registration each year. Hepburn Shire Council are required to report the number of domestic animal businesses registered with them to DJPR on an annual basis.

PLEASE NOTE: A planning permit may be required for some animal businesses. Please contact the Planning Department
Number of animals*
Type of animals*
Type of establishment*
- Animal shelter
- Boarding establishment
- Training establishment
- Pet shop
- Breeding and/or rearing establishment
- Other
Animal estabishment*
Please specify the nature of your business

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Waste water permit
Type of installation/alteration*
- New installation
- Major alteration to existing system
  (ie. Increasing wastewater field, replacing an existing system)
- Minor alterations to existing septic system
  (ie. Connecting new internal plumbing fixtures)
Plumber
First name(s) Surname
Plumber address
Street Address Locality State Post Code
PIC license number
Plumber phone number
Plumber email
Proposed System*
Please specify the type of system to be installed/altered
- Traditional septic tank
- Package treatment plant
- Septic tank and sand filter system
- Absorption/transpiration trenches
- Sub-surface irrigation
- Other
Septic tank capacity in litres*
EPA approval number*
Make and model*
Sand filter size in m2*
Total length of trench in m2*
Width of each trench in mm*
Total area of sub-surface irrigation in m2*
Other details*
Please enter further details of the septic system, this may include capacity, total area, EPA approval number
Septic system attachments
As a minimum please attach the following documentation.
A house floor plan.
A site plan showing contours, the relative position of the septic tank and all existing and proposed buildings, driveways, easements, streams and underground water tanks and wells.
Details including a plan of the proposed septic tank system to be used, showing distances from boundaries, buildings, driveways, dams and water courses.
Drop files here or

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Footpath trading permit
Applicants can commence trading on the footpath once they have complied with the Conditions of Use and:
- Submitted this form,
- Paid in full for the permit
- Attached public liability insurance certificate.
Hepburn Shire Council will conduct onsite checks to ensure compliance.
Type of Application
- Alfresco dining application
- A frame application
- Display goods for sale
Please enter the number of..
Tables
Umbrellas
Planters
box gas heaters (AGA)
Chairs
Wind barrier screens
Other (Please specify)
Footpath trading required document*
Copy of public liability insurance indemnifying the Hepburn Shire Council.
Public liability document disclaimer
- I am unable to provide a copy at this stage but understand that I will not receive a footpath trading permit and be able to undertake the activity on Council land outside my business unless a permit has been issued

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Please review your information. You can go back to amend any errors or submit if the form is complete.

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Business Permit Application Form

Step 1 of 15

Private building surveyor details

Property details

Legal description of the land parcel

Applicant details

Business details

Planning permit

Building permit

Food registration

Accommodation registration

Health premises registration

Domestic animal business registration

Waste water permit

Footpath trading permit

Please enter the number of..

Please review your information. You can go back to amend any errors or submit if the form is complete.