Development Application for permit to damage vegetation - OPW13/0411

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   111111               Integrated Development Assessment System form                                                                                                                                                                          ,




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Application details-IDAS form 1
(SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)


You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms orforms without all
                                                                                                                                                                                                                       necessary
information and documentation will result in your application not being a properly made application.




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For all development applications, you must:

.    com   plete this form (Application details-/OAS form 1)
     complete any other forms relevant to your application
     provide any mandatory supporting information ide tifi~ on the Torm-s’s-ee-i.og..r.gauired to accompany your
     application.
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Attach extra pages ifthere is insufficient space on this                                   orm.                                                                      f1ter

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All terms used on this form have the mean ing given in

Regulation 2009.

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                                                                                                Sustainable


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                                                                                                                                                            or the sust.                   nable Planning



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This form can also be completed online using Smart eDA
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Applicant details (note:the applicant is the person responsibl for making the appli ati~n and need not be the owner f
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the land. the applicant is responsible for ensu ring the information provided on alllDAS application forms is correCt. Any

development permit or preliminary approval that may be issued as a consequence of ~his application will be issued to the
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applica t.)
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Name/s (individual or company name in full)                                               wH- ,l’1"L-~S                                                   rJ 00$’0...,....
For companies. contact name
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Postal address
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Contact phone number
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Mobile number (non-mandatory)



Fax number (non-mandatory)
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