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

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Table E

Name of ownerIs of the land                                          I
D The o~ne"’s written consent is attached                                     or will be          provided separately to the assessment manager
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Table F
                                                                 ’

Name of ownerIs 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.


                                                                                                                                          involves state land, or taking quarry materials.
9. Does the application involve a state resource? (e.g.the application
Refe~ tQ the note~        atjhe~e~~
                           of this,f~,rm tor m<?,re            .~.                           inJormaJion),                       ."".,., """_.     :".~Ji   "’,i"
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[2 No                                                D Yes-compl~te table G
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Table G-state owned resources (provide details for each state resource in a separate table)

Nature of state-owned resource
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Nature of e.vic nce require ’{tik th.e
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applicable box and attach a copy of the.                                           D             Evidence of an allocation of, or an entitlement to,.the resource
evidence to this form)


                                                                                                 Evidence the chief executive of the department administering the
                                                                                   D                                                                                                                                                                allocation
                                                                                                 resource is’satisfied the development is consistent with an
                          -           ..
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                                                                                                 of, or an entitlement to,.the resource                                                                                                      ._.0’




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                                                                                   0 Evidence the chief executive of the department administering the
                                                                                                 resource is satisfied the                          development application may proceed in the
                                                                                                 absence ,of ~n. al.~Q,c~tion 0’.or,~_n .entitlem,e?,t ~o~                                                           ~~e,resource                                 ",’




10.   Identify if any of the following apply to the premises (tick applicable box/es)                                                                                              N.A.



 o adjacent to water body,watercourse
                              a                                                or   aquifer (e.g.creek, river, lake, canal}-complete tab.e H

 o      on     strategic port land under the TransportInfrastr<<cture ACM994-CollJplete Jable I

 D in tidal water area-complete table J
               a




Table H            Name of water body, watercourse or aquifer




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                                                                                                                                                                            Application details-IDAS form 1
                                                                                                                                                                               Version 1.0 18December 2009