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Schedule 13: Notice of Application for Renewal of Mining Licence to Owner and Occupier of Land

Mineral Resources (Sustainable Development) Act 1990 - Section 29(1)
Mineral Resources (Sustainable Development) (Mineral Industries) Regulations 2013 - Regulation 30

Application for Renewal of Mining Licence No: 

1. Name and address of applicant(s) (if the applicant is a company, the registered address of the company):

Name: Name:
Postcode: Postcode:
Telephone:

Telephone:

       
Name: Name:
Postcode: Postcode:
Telephone: Telephone:

2. Correspondence Address:

Address:
Postcode:

 

Notice is hereby given that an application for a renewal of a mining licence over land owned or occupied by you has been lodged with the Minister.

3. Particulars of Application:

Number:
Locality:
Area of application
Term of renewal applied for

Nature of proposed work program:

4. Signature of applicant(s):

 

……………………………………………………… ………………………………………………………

 

……………………………………………………… ………………………………………………………

5. Date of Application:

Enquiries may be made to:

Manager, Earth Resources Tenements
Department of Economic Development, Jobs, Transport and Resources
GPO BOX 2392
MELBOURNE VIC 3000
AUSTRALIA

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