Application for Clearance Certificate for Restricted Access Vehicles

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Contact Details
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Restricted Access Vehicles
Restricted Vehicle Type * Refer to images at the top of this form
Vehicle Combination
Roads and Purpose
Date(s) and Time(s) or proposed Access
Between *
and End date *

Terms and Conditions of the Clearance Certificate

  1. The Applicant  agrees  to indemnify  and keep  indemnified  the  Council  against  all actions, costs, claims, damages, charges and expenses whatsoever resulting from any act, omission or failure  by the  Applicant  to
    comply  with these  Conditions  of Clearance  or  any Special Conditions of Clearance contained herein;
  2. Only those roads included  in this Clearance Certificate  under the control of Council and the  Permit issued by Department  of Planning, Transport and Infrastructure may be accessed by the Restricted Access Vehicle/s identified on this Clearance Certificate;
  3. Any damage  to the  road/s  and or infrastructure  resulting  from  access  by the Applicant's vehicle/s will be repaired at the Applicant's expense;
  4. Any  speed  limits  imposed   within  this  Clearance  Certificate  and/or  the  Permit  must  be adhered to at all times;
  5. The issuing  of this Certificate  does not provide exemptions  to exceed mass or designated load limits on bridges,  road or other infrastructure;
  6. Driver/Operators must avoid all horizontal and vertical obstructions.

I/We acknowledge that I/We have read and understand  the Terms  and Conditions  of the Clearance Certificate (including any Special Conditions listed herein) and agree to abide by all such conditions.

Terms and Conditions
Accept Terms and Conditions Ticking this box constitutes signing for and on behalf of the Applicant(s)