Firebreak Variation Application

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Firebreak variation application

All fields are required except where indicated
 
Note: street number and street name are needed for all addresses
Note: street number and street name are needed for all addresses
Please use Google Maps to take a snapshot of an arial view, and draw a diagram using windows paint, or Microsoft Word including all buildings, entry and exit points, access tracks, and any trees gates or fences blocking the firebreak and attach to this form.

Example Firebreak Diagram:

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Contact

Address

9 Coleville Crescent,
Spearwood 6163

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

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