Development Application for permit to damage vegetation - OPW13/0996

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                     8. Identify if any of the following apply to the premises (Tick applicable box/es.)                                                                                                \_,
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                     D              Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete T                                                                                                           eK


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


                     D               In a tidal water area-complete Table M


                     D               On Brisbane core port land under the Transport Infrastructure Act 1994 (                                                                                able requires completion)


                     D               On airport land under the Airport Assets (Restructuring and Dispos                                                                           Act 2008 (no table requires completion)



                    Table K                                                                                             /
                    Name of water body, watercourse or aquifer                                                         /
                                                                                                                      /
                                                                                                                  /


                    Table L                                             /’
                    Lot on            plan description for strategic p~nd                                                                               Port authority for the lot


                                                                /
                                                                                      /

                    Table M                                                  /
                     Name of local                     gove~nt for the tidal                   area       (if applicable)                               Port authority for the tidal area (if applicable)

                                                           ("

                      9. Are there any existing easements on the premises? (e.g.for vehicular acce                                                                                              ,electricity, overland flow, water
                      etc.)

                      [2(’No                           D
                                                                Yes-ensure~e                                   Ion and dimension of each easement is included in the                                                                       plans submitted


                                     oes the            proposal include new building work or operat’                                                                             on the     premises? (Including any services.)

                       D             No                D                                                   ocation and dimension of proposed works are included in plans submitted
                                                                Yes-en~,
                       11. Is the payment of a portable long service leave lev                                                                         cable to this application? (Referto notes at the end
                       of this form for more information.)


                       ~o-go                            to question 13



                                                                                                                                                                                                                                                                      roo<   ,J’,
                       12. Has the portable long service leave levy been paid? (Refer to notes at t                                                                                                                                                                  ".J
                                                                                                                                                                                                                                                                     "


                       information.)




                        D             Yes-complete Table N and submit with this                                               ication the yellow local government/private certifier’s copy of the
                                      receipted QLeave form

                      Table N


                      Amount paid                                                                   QLeave project number (6digit number starting with A, B, E, Lor P)




                     5                                                                                                                                                                                                IDAS form 1-Application details
                                                                                                                                                                                                                                 Version 2.0 31 March 2013