Application for permit to damage vegetation - OPW13/1024

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    .          details of lighting levels.

    Applications for operational work involving public utility services

    Drawings showing:                                                                                                                                       D Confirmed
    .
               any existing light poles and power poles                                                                                                     D Not applicable
    .
               any existing underground services
    .          details of proposed services
    .          alteration to existing services.

    Applications for operational work involving landscaping works

    Drawings showing:                                                                                                                                       D Confirmed
    .          the location of proposed plant species                                                                                                       D Not applicable
    .a
                     plant schedule indicating common and botanical names, pot sizes and
               numbers of plants
    .
     planting bed preparation details including topsoil depth, subgrade
     preparation, mulch type and depth, type of turf, pebble, paving and garden
     edge
    .the location and type of any existing trees to be retained
    .construction details of
                             planter boxes, retaining walls and fences
    .          the proposed maintenance period
    .
               irrigation system details.

   Privacy-Please refer to your assessment manager, referral agency and/or building certifier for further details on the
   use of information recorded in this form.




   OFFICE USE ONLY


     Date received                                                                                     I Reference numbers

   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 agency.




Department of State Development, Infrastructure and Planning
PO Box 15009 City East Old 4002
tel 13 OGOV (1374 68)                                                                                                                        IOAS form 6.. Buildmg or opera(iofl,~i wor!{ ;lSSC:"S" ,i,’
[email protected]                                                                                                                                                   <.1f1aJr!si a p/annfnq schcine
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www.dsdip.qld.gov.au

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