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Heidelberg Road Heritage - Planning Scheme Amendment C203dare Submission Form

Submissions must clearly state the grounds on which the amendment is supported or opposed and indicate what changes (if any) the submitter wishes to make.

Name and contact details of submitters are required for council to consider submissions and to notify such persons of the opportunity to attend council meetings and any public hearing held to consider submissions.

Submissions must be received by Monday 13 December 2021

Privacy Statement
The collection and handling of personal information is in accordance with Council's Privacy Policy which is displayed on Council's website and available for inspection at, or collection from, Council's Customer Service Centres. 

The personal information that we collect from you in this survey will be treated confidentially in accordance with the Privacy and Data Protection Act 2014. It will only be used for the primary purpose of this engagement and for no other purpose without your consent. The information is being collected for data integrity purposes to minimise the risk of multiple submissions. Your personal information will not be linked with any of your responses provided in this engagement. When making any comments, please do not include any personal information if you would not like it to be accessible for public viewing, and please do not identify specific people by name for the sake of their privacy.  

Council uses the service of Alchemer for the collection, aggregation and analysis of the data that you provide. The information that you provide is transferred directly to Alchemer via a secure survey link and is stored in Alchemer’s secure data warehouse at Louisville.

Personal information collected from you in this survey will be stored with Alchemer  until the end of the survey collection and not in Victoria and/or Australia. Please note that if your information is stored in Victoria and/or Australia you are afforded certain protections and rights under the Victorian Privacy and Data Protection Act 2014 and the Information Privacy Principles (IPPs). Once transferred out of Victoria and/or Australia, these protections may not apply to your information.  

By participating in this survey, you consent to the storage of the information provided offshore (outside of Australia). This means that once you have chosen to participate in this survey, Council will endeavour to ensure that Alchmer will protect your data in accordance with the Australian Privacy Principles by adhering to a signed contract between both parties.
2. If you would like to include documentation to support your submission, please upload it here.
3. Please provide the following details about you so we can contact you about the amendment:
 
Space Cell Details
First Name
Last Name
Postal address or Email address
Postcode
4. What is your relationship with Darebin? (choose all that apply)