Local Heritage Assistance Fund Application Form

Applicants Details

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The Proposal
I/We, the undersigned, being the applicant(s) nominated in this applicant, hereby apply for financial assistance under the Local Heritage Assistance Fund to carry out works described in this application on the land specified in this application. 1
Applicant Declaration
Owner's Declaration

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Funds
I/We, the undersigned, being the applicant(s) nominated in this applicant, hereby apply for financial assistance under the Local Heritage Assistance Fund to carry out works described in this application on the land specified in this application. 2
Applicant Declaration
Owner's Declaration
I/We, the undersigned, being the applicant(s) nominated in this applicant, hereby apply for financial assistance under the Local Heritage Assistance Fund to carry out works described in this application on the land specified in this application. 3
Applicant Declaration
Owner's Declaration