Development Application for permit to damage vegetation - OPW13/0600

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                          ~
      Applications for operational work involving landscaping works
      Drawings showing:
                                                                                            D Confirmed
      .  the location of proposed plant species
      .a
              plant schedule indicating common and botanical names, pot sizes and           D Not applicable
         numbers of plants
      .
         planting bed preparation details including topsoil depth, subgrade
         preparation, mulch type and depth, type of turf, pebble, paving and garden
         edge
      .  the location and type of any existing trees to be retained
      .  constructinn rlpt"ilc: nf nl"ntpr boxes, retaining walls and fences
      .  the proposed maintenance period
      .  irriqation system details.


 Privacy-Please refer to your assessment manager, referral agency and/or building certifier for further details on the use
 of information recorded in this form.


 OFFICE USE ONLY


      Date received
                                                           I Reference   numbers




The Sustainable Planning Act 2009 is administered by the Department of Stat
                                                                                              lopment, Infrastructure and Planning.
This form and all other required application materials should be sent to
                                                                               your   sSI1~me           anager and any referral
 agencies.                                                                                (J/Co,
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                                                      IDAS form 6-Building or operational work assessable against a planning scheme
                                                                                                               Version 2.0 17 December 2012