Development Application for permit to damage vegetation - OPW13/0411

       ODD

    Table E


    Name of owner/s of the land
                                                         ’Bo~                           ~~                                                                         ~ V7IIOL
                                                                       .__"
          The owner’s written consent is attached or will be provided separately to the assessment manager                                                                   o--rs




    Table F

    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.


    9. Does the application Involve a state resource? (e.g.the application involves state land, or taking quarry materials.
,



    Refer to the notes at the end of this form for more information)
                              _                         ;:.;0                    ’~.__~_ ~’r- 0\’ W.   ’,-...   .   ’,_~....   ,/-’t’_.,.-.. ~




    ~       No
                                                D Yes-complete table G

    Table G-state owned resources (provide details for each state resource in a separate table)

    Nature of state-owned resource




    Nature of evidence required (tick the

    applicable box and attach a copy of the
    evidence to this form)
                                                                 D        Evidence of an allocation of, or an entitlement to, the resource




                                                                          Evidence the chief executive of the department administering the
                                                                 D
                                                                          resource is satisfied the              development is consistent with an allocation
                                                                          of, or an entitlement to, the resource


                                                                 D        Evidence the chief executive of the department administering the
                                                                          resource is satisfied the development application may proceed in the

                                                                          absence of an allocation of, or an entitlement to, the resource


                                                                                                                                                          >,~           ~’     t

          Identify if any of the following apply to the premise’s (tick applicable box/es)
                                                                                                                                                 J;                                ’1’
    10.                                                                                                                                               "
                                            .
                                                                 ""J                                                                                      iO’!:’   ".




    D adjacent to water body, watercourse
                         a                                      or   aquifer (e.g.creek, river, lake, canal)-complete table H

    D       on   strategic port land under the Transport Infrastructure Act 1994-complete table I

    D in      a tidal water       area-complete table J



Table H             Name of water body, watercourse or aquifer




                     4                                                                                                                Application details-IDAS form 1
                                                                                                                                            Version 1.0 18 December 2009