Application for permit to damage vegetation 18 Delorme Street - OPW13/0684

     Email address (non-mandatory requirement)

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     Applicant’s reference number (non-mandatory
     requirement)                                        I
     1.    What is the nature of the development proposed and what type of approval is being sought?


     Table A-Aspect 1 of the application (If there are additional aspects to the application please list in Table B-Aspect 2.)

     a)   What is the nature of the development? (Please only tick one box.)

          o Material change of use       0 Reconfiguring a lot           0Building work                                        Operational work


     b)   What is the approval type? (Please only tick one box.)

          o Preliminary approval         o Preliminary approval          SDevelopment permit
               unders241 of SPA                under s241 and s242
                                               of SPA

     c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
          applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
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     d)   What is the level of assessment? (Please only tick one box.)

          o Impact assessment            0Code assessment


     Table B-Aspect 2 of the application (If there are additional aspects to the application please list in Table C-
     Additional aspects of the application.)

     a)   What is the nature of development? (Please only tick one box.)

          o Material change of use       0 Reconfiguring a lot           0Building work                                 0Operational work

     b)   What is the approval type? (Please only tick one box.)

          o Preliminary approval         o Preliminary approval          o Development
               under s241 of SPA               unders241 ands242               permit
                                               of SPA

     c)   Provide a brief description of the proposal, including use definition and number.of buildings or structures where
          applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
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     d)   What is the level of assessment?
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          o Impact assessment            0Code assessment                                                          ..




     Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
     separate table on an extra page and attach to this form.)

          o Refer attached schedule      0Not required



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



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