
 
 
 
 
Leasing industrial land application form 
Proprietor information  
1. Applicant  
Company name or full names of individuals:  
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
Trading as:  
ACN (if applicable):_______________________________________________________________ 
ABN (if applicable):  ______________________________________________________________ 
 
Contact details:  
Name: _________________________________________________________________________ 
Phone number:  _________________________   Fax number:  __________________________ 
Business street address:___________________________________________________________ 
Postal address:  _________________________________________________________________ 
Email:   ________________________________________________________________________ 
Website (if applicable): ____________________________________________________________ 
2. Business definition  
What business activity is proposed to be carried out on the site? 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
3. Reason for application  
E.g. new industry, expanding or relocating to larger premises 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________