Development Application for Permit to Damage Vegetation - OPW13/0356

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

               No      o      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.)


         12:( No
         o Yes-complete either Table G, Table H or Table I as applicable

     Table G

     Name of ownerls of the land


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

     Signature of ownerls of the land


     Date


     Table H

     Name of ownerls of the land


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

     Table I

     Name of ownerls of the land


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



     7. Does the application involve a state resource? (E.g. the application involves
                                                                                            taking water or quarry material, or
     interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
_,
     requirement.)

     Q"No                        o      Not identified whether or    0 Yes-complete Table J
                                        not the application
                                        involves a State
                                        resource




     TableJ

     Nature of state-owned resource (if identified)




     4                                                                                              IDAS form 1-Application details
                                                                                                         Version 2.031 March 2013