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Nominate a Heritage Place

Print Form

Local Government Municipal Inventory Nomination Form

Please provide as much information as you possible. Fields marked with (required) are compulsory.

Contact details

Please enter details of your name and contact information.

The place being nominated

Please enter details of the place being nominated.

Address of the place being nominated

Nomination criteria

It is necessary to complete at least one of the following four nomination criteria.

e.g. form, scale, colour, texture and material of the fabric
e.g. has it been influenced by or influenced an historic figure, event or activity
e.g. rarity, quality of representativeness
e.g. focus of spiritual, political, national or other cultural sentiment to a majority or minority group
e.g. National Trust, Heritage Council
e.g. book titles, Battye Library references
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Contact

Address

9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past, present and emerging.