Development Application for permit to damage vegetation IDAS Forms 1 & 6 - OPW12/0627

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    D ""ate.rial change of use of R~emises                                                                                                                                                                            ;.
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    D building work
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    3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?                                                                                                                    11           ~~,                     ~                 ~

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    D v s":"complete ta’ble A and ’then go to question~’
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    Table A-name of each local government area in which the mobile and temporary ERA is I>~oposed to..C?perate                                                                                                                                                          ,
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    4. location of the premises (complete
                                                                              tab~ B and/or table C as applicable. IdentitY’each lot’in a separ’te row)                                                                                                                                         m
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    Table B"’:’streetaddress/lot f r the premises or street address/lot’on plan for the land adjoining or adj~ceN,t!>. the \
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             D street address/lot on plan for the land aojo ning or adj                                                                       nt to the premises (appropriatefor development in

                        water e.g. jetty, pontoon)


     Street address                                                                                                           l~~ ~’!.I?l~n description                                              Local government area
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     Unit           Stre~t.           Street name and official s~burb/                                 Post-                  lot no.                            Plan type

     no.            no.               locality name                                                    code                                            (i.       :and plan no.
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                              -2                                               ..                      t.                                                                                     Application details-IDAS form 1
                                                                                                                                                                                                    Version 1.0 18December2009