I the undersigned, hereby grant permission for the City of Armadale, its officers, employees or contractors to enter my property for the purposes of removing those items detailed within this form. I understand by nominating an alternative location for the City of Armadale verge collection, I hereby indemnify the City, it’s officers and contractors for all and any liabilities for injury, loss or damages sustained to person or property, except to the extent of liability which is caused by the Wilful Misconduct or a negligent act or omission of the contractor, the City or the City’s personnel. The applicant also acknowledges that the information held or compiled by the City of Armadale in relation to this application is subject to the Freedom of Information Act 1992.