Permit to work in Cemetery: Monumental Headstone or Plaque

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This form should be used to apply for a permit to install a memorial headstone or plaque. A permit is not required for RSA plots. Make sure you have all information handy that is needed for this application: the size, material and content of the headstone.

Before starting your application, please read Waipa District Council’s Guidelines for Monuments and Plaques in Public Cemeteries.

If your application is approved, you must supply a photo of the finished work within 10 working days of installation. Photos can be sent to

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