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OPW13/0937 Application for permit to damage vegetation 136 Gympie Terrace Noosaville

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    5.     Are there any current approvals {e.g. a preliminary approval} associated with this application? (Non-
           mandatory requirement)

    o/NO           D      Yes-provide details below

    List of approval reference/s                         Date approved (dd/mm/yy)                 Date approval lapses (dd/mm/yy)




    6.     Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


    ifNo
    D      Yes-complete either Table F, Table G or Table H as applicable

    Table F                                                                                        .."..



    Name of owner/s of the land

    I/We, the above-mentioned owner/s of the land, consent to the making of this application.

    Signature of owner/s of the land


    Date


    Table G

    Name of owner/s of the land


    D The owner’s written consent is attached or will be provided separately to the assessment manager.

    Table H

    Name of owner/s of the land

    D By making this application, I, the applicant, declare that the owner has given written consent to the making of the application.

I   7.      Identify if any of the following apply to the premises (Tick applicable box/es.)

    D      Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete Table I

           On strategic port land under the Transport Infrastructure Act 1994-complete Table J
    q
    D      In a tidal water area-complete Table K


    D      On Brisbane core port land under the Transport Infrastructure Act 1994 (Notable requires completion.)


    D      On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)


    Table I

                                                                                                               ,
    Name of water body, watercourse or aquifer                                                             .




    Table J

    Lot on plan description for strategic port land                          Port authority for the lot




                                                                                                           IDAS form 1-Application details
                                                                                                                   Version 3.0-1 July 2013

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