Welcome to our on-line survey. We have invited you to complete this survey so that you can provide specific and more focused feedback to us on how the proposal might affect you. Before completing this survey please take the time to review the document titled "Additional Information", which has been prepared for you and may address any concerns. If however, after reviewing this document, you have further queries or concerns regarding the proposal or would like to provide more specific feedback regarding the proposal, we invite your comments by completing the short on-line survey. Alternatively you can download the printer friendly version and fax or post it to us.
Once the Community Impact Statement has been finalised you will be notified of its lodgement with the Casino, Liquor & Gaming Control Authority (the "Authority") within 2 working days of its lodgement and you may care, at that stage, to view the Application on the Authority's public notice board at www.olgr.nsw.gov.au. You will have further opportunity to comment on the proposal at that stage. Your personal details, such as your name or contact details will not be disclosed to the Authority without your express consent.
We will confirm receipt of your completed on-line survey by return e-mail. Don't forget to save or print a copy of this page for your records.
To submit your feedback regarding the proposal please complete the survey and press submit.
For a printer friendly version of the survey
* these fields are required
Name/Corporate Name:
*
Address:
Contact Person:
Telephone Number:
Facsimile Number:
E-Mail:
Survey relates to premises at:
What is your preferred method for us to contact you?
Phone Fax Email Postal
How far away is the Proposed Premises from where you reside or work? Please distinguish whether the distance is to your place of work or place of residence.
Do you believe the Proposed Premises could adversely affect you, and if so, please specify in what way?
If you believe the Proposed Premises could adversely affect you, can you suggest any changes to the proposal that could lessen your concerns? For example, you might be aware of operational policies or procedures at a similar venue, which have been successfully implemented at those premises and which, if adopted by this proposal, would satisfy your concerns.
If on the other hand you believe the Proposed Premises could benefit you in some way please indicate in what way. For example, there may be increased employment opportunities for the community or improved shopping convenience and choice for you.
Do you have any other comments to make regarding the proposal?
Should you have any concerns with the proposal can we contact you to discuss those concerns further? If so, we will contact you by your preferred method indicated above. If you ticked by phone, please indicate when would be a convenient time for us to call you, such as at a particular time of the day or day of the week.
No Yes, during the following times:
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City Office Level 5 75 Elizabeth St SYDNEY NSW 2000 Tel: (02) 9223 3355 Fax: (02) 9223 3142
Randwick Office Shop 69B, Level 1 73 Belmore Rd RANDWICK NSW 2031 Tel: (02) 9398 3611 Fax: (02) 9398 1183
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