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Planning referral form

Intro text..........................................

Planning referral form

Contact details

Referral type (select relevant)

Response due date

Western Power interests affected (select relevant)

Required documents
*Please ensure documents you upload are less than 3MB in size and saved in PDF format.

Copy of the certificate of title issued by Landgate within the last 6 months.

Completed application form signed by the applicant and all owners of the land.

A copy of the set of plans, drawn to scale, showing relevant dimensions and including:

  • A site plan to a scale of not less than 1:200 showing:
    • Floor plans (1:100 for all floors, and an internal layout of any existing structures to be retained).
    • Elevations (1:100), indicating the natural ground levels.
    • Site feature survey (including street verge), drawn to scale (not less than 1:200) illustrating existing electricity network infrastructure (overhead, underground and points of connection).
    • Line survey drawn to scale, indicating location of electricity network infrastructure, lot boundaries and proposed development

Any accompanying reports which detail the proposed construction and development methodology where in vicinity of network assets, including safe clearance assessment by qualified expert.


I, being the applicant/a person acting on behalf of the applicant for the development described above declare that the proposed development will involve development which would, if constructed in accordance with the plans submitted, not be contrary to the regulations or standards referenced in Schedule 2 of the Electricity (Network Safety) Regulations 2015, including the minimum safe clearance standards to electricity network infrastructure. I declare that all construction activities associated with the proposed development will be compliant with the Occupational Safety and Health Act 1984 and associated regulations.