Development Application for permit to damage vegetation - OPW13/0526

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      Table K

          Name of local government for the tidal area (if applic               Port authority for the tidal area (if applicable)




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



                      D      Yes-ensure the type, location and dimension of each easement is included in the plans submitted


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

                      D      Yes-ensure the nature, location and dimension of proposed works are included in plans submitted


          10.   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.)


      ~o question       to          12      DYes

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

          ~
      .
          D     Yes-complete Table L and submit with this application the yellow local government/private certifier’s copy of the
                receipted QLeave form

          Table L

          Amount paid                                                       Date paid        QLeave project number (6digit number

                                                                            (dd/mm/yy)       starting with A, B, E, L or P)




          12.   Has the local government agreed to apply a superseded planning scheme to this application under
                section 96 of the Sustainable Planning Act 20091


          D     No

          D     Yes-please provide details below

          Name of local government                           e of written   notice given   Reference number of written notice given
                                                          by local government              by local government (if applicable)
                                                          (dd/mm/yy)




                                                                                                          IDAS form 1-Application details
                                                                                                                  Version 3.0-1 July 2013