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Natural Heritage Protection Grant 2023/24

This is a preview of the Natural Heritage Protection Application Form form. When you’re ready to apply, click Fill Out Now to begin.

Introduction

* indicates a required field.

Please complete every section of this form. Partially completed forms will not be accepted.

Please note - your application will be available to the public and media as part of the Council's decision-making process.

Applicant

Organisation Name
Individual Organisation Clear the selected value for Applicant

Title	First name	Last name

Address of Natural Heritage Site *

Address line 1

Address line 2

Suburb	Town/City	Postcode

Must be a New Zealand postcode.

Primary Phone Number of land owner *

Primary Email of land owner

Must be an email address.

Mobile Phone Number

Contractors Name

Contractors Email address

Legal description

Is the covenant one of the following:

Registered

Proposed

Approved

Heritage significance/importance of the resource:

Please provide a summary of the intended works

Are you prepared to legally protect the heritage resource (e.g. through a QEII covenant)?

Yes

What assistance from the fund do you require? *

Must be a dollar amount.

Is any other funding being sought or obtained? *

Response required.

Yes

If yes, who from and how much?