Application for permit to damage vegetation - OPW13/0669

                  .,    ;
                            .




 .   details of lighting levels.
                                    t
                                                                         services
 Applications for operational work involving public utility
  Drawings showing:
  .
   any existing light poles and power poles
                                                                                              ~onfirmed
                                                                                                   ot applicable

                              services
  .
   any existing underground
  .details of proposed services
  .   alteration to existing services.
                                                                         works
  Applications for operational work involving landscaping
  Drawings showing:                                                                           D Confirmed
                                                                                              D Not applicable
                                                                                                                      \~~1~
  .


  .a
      the location of proposed plant species
        plant schedule indicating common and botanical names, pot sizes
                                                                        and
                                                                                                                      ~k-~
      numbers of plants
                                                                                                                      _
                                                                                                                            ~   ’I-   b~
  .
      planting bed preparation details including topsoil depth, subgrade                                              CZAI::>   ~~\--~
                                                                      and garden
      preparation, mulch type and depth, type of turf, pebble, paving
      edge                                                                                                            b,",\
   the location and type of any existing trees to be retained
  .
                                                                                                                     ~~
  .construction details of planter boxes, retaining walls and fences
  .   the proposed maintenance period                                                                                     ~v~
  .
      irrigation system details.
                                                                                                                                      the
                                                                 referral agency and/or building certifier for further details on
 Privacy-Please refer to your assessment manager,
 use of information recorded in this
                                          form.




 OFFICE USE ONLY

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




                                   Infrastructure and Planning
Department of State Development,
PO Box 15009 City East Old 4002
                                                                                       IDAS form 6     ulding cr opcutJ’)lidl WOrk S’;t.::;~ Jblc
tel 13 OGOV (137468)
                                                                                                                   aqaJnst oJ pl.JnntTJg scheme
[email protected]                                                                                                Versio!’ 3 0- 1 July ~013

www.dsdip.qld.gov.au
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