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Application for permit to damage vegetation - OPW13/0074

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                               number              ($)                           form sighted by   sighted the form
                                                                                 assessment

                                                                                 man~er




The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agencies.




8
                                                                                         IDAS form 1-Application details
                                                                                          Version 2.0 17 December 2012

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