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

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    Table I           lot on plan description for strategic port land                                                                                                                                 Port authority for the lot                                                                                             ,


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    Table J           Name of local government for the tidal area (ifapplicable)                                                                                                                      Port authority for the tidal area (ifapplicable)

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


    8 No               D Yes-ensure the type,location and dimension of each easement is included in the plans submitted

    12. Does the            proposal include new building work or operational work on the premises? (including any services)


    [2J No             D Yes-ensure the nature, location and dimension of proposed works                                                                                                                                            are included in                                       plans submitted



    13. Is the payment of a portable long service leave levy applicable to this application? (refer to notes at the end of this
    form for more information)

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    [{( No-go               to question 15                                  DYes

    14. Has the portable long service leave levy been paid? (refer to notes at the end of this form for more information)

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    D Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the                                                                                                                                                                                                                                             ’,1’.,-

              receipted Qleave form
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    Table K            Amount paid                                                         Date paid                                                                 Qleave Project Number (6digit number starting with A, 8,
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     15. Has the local government agreed to apply a superseded planning scheme to this application under
                                                                                                                                                                                                                                                                                                                       section 96 of

    the Sustainable Plann/nlAct 2009?
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     D Yes-please provide details below                                                                           ;    .11" ,.; t             ’1’1        .,:.
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    Name of local government                                                                                      Date of written notice given                                                                  Reference number of written notice given
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                                                                                                                  by local government                                                                           by local government (if applicable)
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                            5                                                                                                                                                                                                       Application details-IDAS form 1
                                                                                                                                                                                                                                            Version 1.0 18Oecember 2009