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

     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.)


     ~NO
     D       Yes-complete either Table F, Table G or Table H as applicable

     Table F

     Name of owner/s of the land                  P. tJ I L ’j)l.} TT          HAUNI

      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       Lf   -
                          -/~

     Table G

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

      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

      D      On strategic port land under the Transport Infrastructure Act 1994-complete Table J


      D      In a tidal water area-complete Table K


      D      On Brisbane core port land under the Transport Infrastructure Act 1994 (No table 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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