Development Application for permit to damage vegetation - OPW13/0996

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,5.[A~e there any cur.reht approvals (e.g.:a prelimin,ary a provaJ),associated with this pplicafior.? (Non-                                                                                           ’l.\ ~~+F
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    mandatqry requirernen’t.)’                                                                                                                          ’<:i,                                     ...,.X.,’        _
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    [No                    D     Yes-provide details below

    List of approval reference/s                                                           Date .approved (dd/mm/yy)                                     Date approval lapses (dd/mm/yy)




    6: Is ’o~ner’s conse~i\ quifed for this,ipplic~tion? (Refer:to nQtes at the end of this form for more information.Y~.’;;{                                      ir.                                        ,.-_ ~~
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    [S No
    D              Yes-complete either Table G, Table H or Table I as applicable

    Table G


    Name of owner/s of the land


    I/We, the above-mentioned owner/s of the land, consent to the makin

    Signature of owner/s of the land
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    Date


    Table H

    Name of owner/s of the land


                                                                                   or will be         provided separately to the assessment manager


    Table I


    Name of owner/s of the land


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



    ",-7. Opes the applicgtiq’~inv~lve     state ,resource? (E:~’g.’th application in~olves taking vJkter.’ rq~arry mat~rial, 0r~’~’
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     interfering with :the.fldW,Qf’water.’Refer to the n()tes at the end of this form for more inform,ation)(Non-maodatory".
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     requirem.ent.)                ~~!"X~~:;;;. ~\~.._ ~.\’!’.l            ’)l’
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     ~NO                                 D            Not identified whether or                             D       Yes-complete Table J
                                                      not the application
                                                      involves a State
                                                      resource




     Table J

     Nature of state-owned resource (if identified)



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    4                                                                                                                                                           IDAS form 1-Application details
                                                                                                                                                                             Version 2,0 31 March 2013