Application For A Commercial Producer'S Licence - Timber
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1
2
3Wildlife Conservation Act 1950
Section 23D Reg 56F
PN
Application for a Commercial Producer’s Licence - Timber
To sell protected (native) flora in the form of timber, taken from, or grown and cultivated on, private
property
Completed forms should be returned to:
Further information on the licensing requirements
is available from DPaW Wildlife Licensing Section
Department of Parks and Wildlife
Phone:
(08)
9219 9836
Locked Bag 30 Bentley Delivery Centre WA 6983
Email: wildlifelicensing@dpaw.wa.gov.au
Or faxed to (08) 9219 8242 or emailed.
COMMERCIAL PRODUCER’S (PN) LICENCES ARE ISSUED FOR A 1-YEAR PERIOD, WITH A $25 FEE.
PLEASE ALLOW TEN (10) WORKING DAYS TO PROCESS COMPLETE AND CORRECT APPLICATIONS.
PLEASE NOTE THAT RENEWAL OF A LICENCE IS DEPENDENT ON SATISFACTORY COMPLETION AND
SUBMISSION OF FLORA RETURNS.
Applicant:
Surname
Other Names
Dr/Mr/Mrs/Miss/Ms
Personal Address (residential)
Postcode
Address (postal)
Postcode
Address Change Yes/No
Day Phone No.
(please state previous address)
Business Name (if applicable)
Date of Birth:
/
/
Previous Licence No.:
Expiry Date:
Email Address:
PN0……………..
/
/
@
Land to which application relates
(Identify each. Note: Proof of authorisation is required- see Proforma
page):
Name of Local Government
Location/Lot Number
Owner or Occupier
Property Name
Authority (e.g. Shire)
(eg. Avon Loc 123)
Timber to which application relates
(Identify each):
Natural (P)
Number of Plants to be Taken or
Scientific Name
Common Name (if any)
or
Area of Plants to be Taken
(e.g. Eucalyptus marginata)
Cultivated (A)
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