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Development Application Application - Vegetation Removal IDAS forms 1 & 6 · OPW12/0161

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




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




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           ~ Are tl1ere                                      ajiy exis,ting. easements on the premises? (e.g.for vehic l (access, electritity, overl ,nd f1ow,;w ter, etc.)
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    ~NO D Yes-:ensure the type, location and dimension of each                                                                                                                                                                                                                                              easement is included in the plans submitted




    1~.,Do’es,ih~ p;opQ;al in l~d:ne~buii i~g w rk or op~rat ~ l’work n fhe,l\’prel1,li~~s?,(in’~h!Cling 1i-ny’s~rVices)
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    ~NO                                                      D Yes-ensure the nature, location and dimension of proposed works                                                                                                                                                                                                                                are included in                                               plans submitted

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    1:4. Has      the p rtabl long service leave)eVy,be n paid? (refer’to not s atthe end bfthis form for more informatlon)                                                                                                                                                                                                                                                                                                   .
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    ~NO
    D Yes-complete table K,and submit with this application the yellow local government/private certifier’s copy of the
                             receipted QLeave form


 Table K                                                     Amount paid                                                                                                       Date paid                                                                                  QLeave Project Number (6 digit number starting with A, B,
                                                                                                                                                                                                                                                                          E, Lor P)




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    1’5’. Has.the l cal’ gpverilment a’greed to,apply                                                                                                                                                                    superseded plaor ng ’sche"rrr to this ~plicati n under section 96’ f’                  "’.                                "x
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     D Yes-please provide details below

    Name of local government                                                                                                                                                                                         Date of written notice given                                                                                        Reference number of written notice given

                                                                                                                                                                                                                     by local government                                                                                                 by local government (if applicable)




                                                                 5                                                                                                                                                                                                                                                                                               Application details-/DAS form 1
                                                                                                                                                                                                                                                                                                                                                                        Version 1.0 18 December 2009

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