Application for permit to damage vegetation - OPW13/1024

5.                        re     th,ere al)ycyrrentapprovals (e.g’. a preliminary approval) associated,w,ith thi’sapplication?(Non-                                                                                                 .    ,


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                    mandatory,r quii-’ement)
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o                  No                                        Yes-provide details below

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


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6..           ,;    Is"o~her’s ’cbns nt ’requirl;!d fo.r!,his’a’pplication? (Refer to not s,aqtelld of this.tbrm"f9r more informatiOn)]
o                  No


o                Yes-complete either Table F, Table G or Table H as applicable

Table F
                                                                                                                            ,


 Name of owner/s of the land                                                                                            ~~W ~ eR I4-eJ~C’7\Z                                                                            ..
                                                                                                                                                                                                                                   t


 I/We, the above-mentioned owner/s of the land, consent to the making of this application.
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                                                                                                                            ~
 Signature of owner/s of the land


 Date                                                    r II ryf (1
                                                                                ~

                                                                                                                                       I                                                                                                                                        I
 Table G

 Name of owner/s of the land


 o The owner’s written consent is attached or will be provided separately to the assessment manager.

 Table H

 Name of owner/s of the land                                                                                        I                                 -




                                                                                                                              the application,
 o            By making this application, I, the applicant, declare that the owner has given written consent to the making of
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                                     tify if. riy,6f thefollo,vifirig: pply to the pr,emises(Tick appli able’box/es.) :,~;p~!):::"i’ ’,e,:....
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                                                                                                                                                                                                                                                                        I
 o                  Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete Table

 o                  On strategic port land under the Transport Infrastructure Act 1994-complete Table J


 o                   In a tidal water area--complete Table K


 o                  On Brisbane core port land under the Transport Infrastructure Act 1994 (Notable requires completion,)


 o                  On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)




                                                                                                                                                                                                                                                                            J
 Table I

 Name of water body, watercourse or aquifer




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




                                                                                                                                                                                                                                    IDAS form ’.Application oo::.’!’J.
                                                                                                                                                                                                                                           Version 3.()......1 ju!,/ 20 .~,’I