Development Application for permit to damage vegetation - OPW13/0769

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  Table K

  Name of local government for the tidal area (if applicable)        Port authority for the tidal area (if applicable)




        Are there any existing easements on the premises? (e.g.for vehicular access, electricity, overland flow,             ..c



        water etc)


              o      Yes-ensure the type, location and dimension of each easement is included in the plans submitted


  9.    Does the proposal include new building work or operational work on the premises? (Including any.
        services)

  ~     No    0 Yes-ensure the nature, location and dimension of proposed works are included in plans submitted

        Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the
        end of this form for more information.)


        No-go to question 12        DYes

  11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
        information.)


  o     No


  o     Yes-complete Table L and submit with this application the yellow local government/private certifier’s copy of the
        receipted OLeave form

  Table L

  Amount pa d                                                     Date paid       OLeave project number (6digit number

                                                                  (dd/mm/yy)      starting with A, S, E, L or P)




        Has the local government agreed to apply a superseded planning scheme to this application under
        section 96 of the Sustainable Plann ng Act 20091




  o     Yes-please provide details below

  Name of local government                        Date of written notice given   Reference number of written notice given
                                                  by local government            by local government (if applicable)
                                                  (dd/mm/yy)




                                                                                                IOAS form f..Appl:catiQI1 detaiis
                                                                                                        Ven;ion 30:.Julv 2013



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