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Electronic Billboard/s
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Road name where billboard will be displayed
Description of Location
Trailer Hire Company
First Proposed Message
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Electronic Billboard Details

Road name where billboard will be displayed *


 

Trailer Hire Company *



Trailer ID / Registration Number


 

Proposed Message 1 *


 

Date Message 1 Displayed From *


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Date Message 1 Displayed To *


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Proposed Message 2 *


 

Date Message 2 Displayed From *


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Date Message 2 Displayed To *


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Additional Details

 

Reason for proposed electronic billboard/s *


 
 
   

If you have had any previous contact/discussion with anyone at the Department of State Growth, please indicate with whom


   

Supporting Documents (if available)

 

Upload site plans or drawings showing the location of the proposed billboard/s. If you need to upload more than three files, please upload them as one Compressed (zipped) file.
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