Application for permit to damage vegetation - OPW13/0669

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         Are there any current a{>provals (e.g.a preliminary
                                                                     approval) associated with this application? (Non-
5.
         mandatory requirement)


o        No            Yes-provide details below

                                                                                                   Date approval lapses (dd/mm/yy)
                                                         Date approved (dd/mm/yy)
List of approval reference/s

     ~\)J~           1\~~                                      f~-{

                                              this application? (Refer to notes at
                                                                                           the end of this form for more information.)
6.       Is owner’s consent required for



o        No                      N~
                                                              H as applicable
                        either Table F, Table G or Table
~ Yes-complete
Table F

                                                  .A.~         w<t!\: ’-         ~~
Name of owner/s of the land
                                                                                     of this application.
                                        of the land, consent to the making
 I/We, the above-mentioned owner/s
                               land
 Signature of owner/s of the                                                         ~~~~

 Date


 TableG

 Name of owner/s of the land             1
                                                                          separately to the assessment manager.
 o The owner’s written consent is attached or will be provided

 Table H

 Name of owner/s of the land              \
                                                                                                        to the making of the application.
                                                            that the owner has given written consent
 0By making this application, I, the applicant, declare                                                           .




                                                     to the premises (Tick applicable box/es.)
                                                                                                               ",,\U                             I
 7.        Identify if any of the following apply
                                                                                                                 Table I
                                                     or   aquifer (e.g.creek, river, lake, canal)-complete
     o    Adjacent to a water body, watercourse
                                                                                                    Table J
                                                           Infrastructure Act 1994-complete
     o     On strategic port land under the Transport

           In a tidal water area-complete
                                              Table K
     o
                                               the Transport Infrastructure Act
                                                                                        1994 (Notable requires completion.)
     o     On Brisbane core port land under
                                                                                            Act 2008 (notable requires completion)
                                               Assets (Restructuring and Disposal)
     o     On airport land under the Airport


     Table I

     Name of water body, watercourse or aquifer




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




                                                                                                              IDAS form 1    Ippnut’:)n rfetc~J/S
                                                                                                                             30 1 "It.Ay ~OIJ



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