ISP001 - Request for Street Tree Applicant Details Name*This field is required. Address*This field is required. Telephone Number*This field is required. Alternate Contact Number Email Address*This field is required. I can confirm: Select an Option I AM the current owner of the above-mentioned property. I AM NOT the current owner of the above-mentioned property and will attach authorisation from the current owner to have a tree planted on the verge. Tree and Verge Details Number of Trees required (Maximum of four (4) trees, depending on verge size.) Is your verge under powerlines? YesNo If you answered yes to the above question, choose from the below list of tree's for your 1st preference of species Select an Option Banksia (B. attenuata, integrifolia) Bottlebrush (Callistemon sp.) Flowering Gum (C. ficifolia) Little Ghost Gum (E. victrix) Peppermint (Agonis flexuosa) Tea Tree (M. lanceolata) If you answered no to the above question, choose from the below list of tree's for your 1st preference of species Select an Option Banksia (B. attenuata, integrifolia) Bottlebrush (Callistemon sp.) Cook Island Pine (A. columnaris) Coral Gum (E. torquata) Dwarf Sugar Gum (E. cladocalyx nana) Flowering Gum (C. ficifolia) Hibiscus (H. tilliaceus) Jacaranda (J. mimosifolia) Kurrajong (B. populneus) Little Ghost Gum (E. victrix) Paperbark (M. viridiflora, quinquenervia) Peppermint (Agonis flexuosa) Poinciana (Delonix regia) Red Ironbark (E. sideroxylon) Sheoak (Casuarina sp.) Tea Tree (M. lanceolata) Tea Tree (M. lanceolata) Tuckeroo (C. anacardioides) White Ironbark (E. leucoxylon) 2nd Preference:*This field is required. Select an Option Banksia (B. attenuata, integrifolia) Bottlebrush (Callistemon sp.) Gum (variety - dependent on stock levels) Peppermint (Agonis flexuosa) Tea Tree (M. lanceolata) Please Note: CGG Staff will confirm suitably based on site conditions. If your first preference is unsuitable or unavailable, your second preference will be considered. Unsuitable choices may cause delays. Are you willing to water the verge tree(s) after they have been planted by the 91国产自拍? YesNo I consent to be contacted by the 91国产自拍 to discuss my expression of interest. YesNo Please Note By completing and submitting this application, I am consenting to have a tree(s) planted on my verge. I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application Please tick here The 91国产自拍 collects the personal information you provide in relation to the Request for Street Tree form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at privacy@cgg.wa.gov.au. Type the code from the image: Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. Type the code from the image: Do not fill this textbox.