Application for lease renewal of existing lease – lodges/chalets head Lessee Details

PO Box 188 Bright 3741 Victoria Australia

Phone 03 5759 3550 - Fax 03 5759 3693

Email property@mthotham.com.au - Website www.developmthotham.com.au

Head Lessee

Property known as

Postal Address Postcode

Contact Person for Notices Phone Fax

Email Mobile

Registered Business Name (if different from Head Lessee Name above):

Type of Business structure (ie Sole Trader, partnership, trust, company, franchise)

Trading Name:

ABN/ACN #

Number St/Rd Suburb/Town Hotham Heights Postcode 3741

Crown Allotment Section Parish County

Accessibility

Ability for guests to easily locate the premises

Allotment Area m²

Building Area m² Levels Bedrooms Beds

Facilities

Purpose/Use of Lodge/Chalet (members only, guests, groups, staff)

Life Cycle of Lodge Approximate Age of Building (Year built if known)

Last Building Standards of Occupancy Report Date:

Number of Members Associate/Other

Shares Yes / No

Share Structure

Members vs Guests Ratio of Usage

Members obligations (work parties, booking rights, fees)

Commencement Date Expiry Date Term (yrs)

Lease Registered Volume Folio Title Plan Lease Plan OP#

Current Rent per Annum

Next Review Date

Permitted Use

Schedule Obligations
Requested Lease Term

Requested Commencement Date Requested Term (yrs)

Permitted Use (is in line with Alpine Resorts Planning Scheme)

Current Lease will be surrendered at the time the new lease is registered

All Alpine Crown Leases are subject to Ministerial Approval

Refer to item 13.2.1 of the Alpine Resorts Leasing Policy Implementation Details (October 2002) for the criteria for determination of lease terms.

Compliance Details

Public Liability Insurance $20M (provide copy of certificate of currency) *Noting interest of Head Lessor as Mount Hotham Alpine Resort Management Board)

Amount Period of Insurance

Details of Mortgage, Charge or Lien over property

Financial Institution Branch

For

Date
Proposed development/building works

Construction of a new building ( ) Extension to an existing building ( )

Alterations to an existing building ( ) Change of use of an existing building ( )

Demolition of a building ( ) Removal of a building ( )

Re-erection of a building ( ) Other ( )

Any proposed work to comply with the following:

• 
  Alpine Resorts Planning Scheme • Mount Hotham Alpine Resort Master Plan*
  
• 
  Building Code of Australia • MHARMB’s Development Growth Plan*
  
• 
  Bushfire Risk Assessment Policy • All MHARMB’s Adopted Policies & Guidelines*
  

Name

Postal Address Postcode

E-mail


Signature
Signature of Head Lessee Representative Date

Name of Signatory

Position of Signatory

CHECKLIST

Supporting Document Checklist

Company/Entity Constitution/Rules or Articles of Association

Public Liability Insurance Certificate (Current)

Current Company ASIC Extract

As Built Plans

Site Environmental Management Plan (SEMP)

Bushfire Risk Assessment

Certificate of Compliance

Annual Essential Safety Measures Report

Registered Structural Engineers Report (on the structural integrity of the building – covering roof, walls, floors, basement, foundations, external verandah’s and the like)

Five-year cash flow and forecasts – include capital expenditure planning & funding, expense forecasts**

Contact details of Company Directors/Proprietors, shareholders, solicitor, current Committee.

Development plans (if applicable)
** Refer Appendix 1

PLEASE COMPLETE A BUSINESS PLAN (see template attached) AND RETURN ALL REQUIRED DOCUMENTS TO:

Mount Hotham Alpine Resort Management Board

Property Department

PO Box 188

BRIGHT VIC 3741

E/ property@mthotham.com.au