STATEMENT OF REPRESENTATION
Pursuant to Section 38 of the Development Act 1993
Representations must be made in writing, and a Statement of Representation form must be completed
and supplied. The Statement of Representation form requires persons making a representation to state
their name and address, and describe the reasons for their representation and how the issues would be
overcome.
The written statement is more likely to be effective if it refers to the provisions of the Alexandrina
Council Development Plan. This can be accessed at the Alexandrina Council website,
http://www.alexandrina.sa.gov.au/page.aspx?u=2429
Copies of representations are forwarded to the applicant, and the applicant is given the opportunity to
respond in writing to the representation. It is not mandatory to attend an Alexandrina Council
Development Assessment Panel meeting if you lodge a representation, but you may choose to do so to
make a verbal presentation of your concerns. Please note that the time for making a verbal
presentation to the Panel, you will be limited to approximately 5 minutes.
For Category 3 development, Council must allow a representor to appear to make their representations.
The applicant is also allowed to appear in order to respond to any representations.
Council will advise any representors of its decision with a Decision Notification Form. In the case of a
Category 3 development, representors have the right to lodge an appeal against the decision with the
Environmental Resource and Development Court – details are contained in the Decision Notification
Form.
Under the Development Act 1993, any person may, in accordance with the regulations, make a
representation in writing to the relevant authority in relation to the granting or refusal of consent of a
Category 3 development application. Please ensure that you complete each section of this form.
Declaration:
I _______________________ am aware that this representation will become a public document as
prescribed in the Freedom of Information Act 1991 and will be made available to the applicant,
agencies and other bodies pursuant to the Development Act 1993 and may be uploaded to the
Council’s website as an attachment to a Development Assessment Panel agenda.
Signed: ____________________________________ Date:
_______________________________
South Australian Development Act 1993
STATEMENT OF REPRESENTATION
Development Application Number: 455/ _______ / __________
Subject Site Address: ________________________________________________________________
Nature of Development: ______________________________________________________________
Name of Representor(s) (you): _________________________________________________________
Phone: ______________________________ Email: _______________________________________
Postal Address: ____________________________________________________________________
_________________________________________________________________________________
*please note: email is the primary form of correspondence, please only provide a postal address if this is how you wish to be contacted*
I am / We are
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An adjacent/adjoining land owner or resident
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Owner/Occupier of land within the vicinity
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A representative of a company/other organisation affected
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A private citizen
I am in support of this development

I am NOT in support of this development
Comments: ________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
* if you require additional pages please attach them to this form with your submission*

I wish to be heard with relation to my submission
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I do not wish to be heard with relation to my submission
By
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appearing personally at the relevant Development Assessment Panel Meeting

being represented by (name) ____________________________________________________