Development Application - Part 2 of 4 - Application to interfere with Vegetation, Cover Letter & Management Plan

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                                                                                                                                                           Coast
                 APPLICATION TO INTERFERE-WITH VEGETATION
                 Noosa area Local Law N                               10 Vegetation Management (2003)
                                                                                                                                                I Sunshine
                                                                                                                                                  Council
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                  This application appl.ies only to properties within the geographical boundaries of the former Noosa shire.

                        This application relates only to vegetation on private land. Exemptions may apply      -
                                                                                                                   visit www.sunshinecoastqld.gov.au
                        Both sides of this form must be completed in order to pro ess the application.
                        This form must be signed by the property owner (or if signed by a property agent a copy of the authorisation must be attached).
                        If the property is strata titled (e.g. units & townhouses), body corporate authority is required.
                        If ownership of the property has recently changed please attach property transfer documents (available from
                                                                                                                                              your solicitor).




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                 Property owner (where applicant is not the owner)
                  Name/s          Nao~^ ~fRI f’Jt-,5                          -   TM1=:  r11’"’l-VVl~ ~-o~~ LoRP-o~
                  Postal Address       -?-o          ,~oy:              Sl.4          f\J~-A HiA..DS       I State (It-..b ’1 Postcode LId 7.
                  Work Phone S’-I- I./. 0 333 t
                                                                         1 Home Phone             -
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             Property address (locationof vegetationl
                  No                I Street N aos.A.                   ~PR,N~S URn’S                                    Suburb    N~ ~Is. P/code ._,sb 17
                  Lot             RP/SP                    I Property No (see rates ~otice)                              Nearest cross street                           Dog on site Y I N
                 Area of property:         o Less than 3,OOOm2 (3/4 acre)                o Between 3,OOOm2 and 20,OOOm2 (5 acres/2 ha)                               DOver 20,OOOm2


                 Declaration

                 .1 declare that the .information provided in this application is, to the best of my knowledge, true and’correct.




                 Applicant’s signature                                                                       Date       ;;J. ’S  /5’)
                                                                                                                                    2.v   }




                 If the property is jointly ow       d 0 y one property owner’s signature is required.




                 Property owner’s signature                                                                  Date          2~ls);:Jv

                 AUTHORITY ID                              AREA/CAT

                 RE                                        DA/BA

             .   RECORDS




                   Sunshine Coast Council Locked Bag 72 SCMC QLD 4560 Fax: 54418338 Ph:
                                                                                                                54757272,. mail@sunshinecoasl,qld.gov.au Page 1 of2




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