OPW13/0007 Application for permit to damage vegetation 3 Black Mountain Rd Black Mountain

        Q7: Provide a brief description of the proposal
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        ~        Provide a description of the amount and type of vegetation which is proposed for removal and

                 why.

        Q8: Is owner’s consent required for this application?

        ~        Owner’s consent is not required to lodge this application, however, if you are making an
l                application over land that is not your own, then you can not enter the land to perform the works
:t.              without the owner’s consent.
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        PAGE 4


        Q9: Does the application involve a state resource? (e.g. the application involves state
        land, or taking quarry materials. Refer to the notes at the end of this form for more
        information)
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        ~        Tick "No"


        Q10: Identify if any of the following apply to the premises
 ~.


        ~        Tick the appropriate boxes if applicable


        PAGES
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        Q11: Are there any existing easements on the premises? (e.g.for vehicular access,
        electricity, overland flow, water, etc.)

        ~        Tick the appropriate boxes and provide details if applicable.


        Q12: Does the proposal include new building work or operational work on the
 ,
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"       premises? (including any services)

        ~        Tick "No"(If the proposal involves building, a building approval must be obtained before
                 completing this application).

        Q13: Is the payment of a portable long service leave levy applicable to this
        application?)

        ~        Tick "No"
                 (referto notes at the end of this form for more information)
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        Q14: Has the portable long service leave levy been paid?
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        ~        Tick "No"

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        Q15: Has the local government agreed to apply a superseded planning scheme to this
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        application under section 96 of the Sustainable Planning Act 2009?

        ~        Tick "No"
                                                                   Sunshine Coast Council

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                                                                   www.sunshinecoast.qld.gov.au
                                                                   [email protected]
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                                                                   T 07 5475 7272   F 07 5475 7277
        2 of 3
                                                                   Locked Bag 72 Sunshine Coast Mail Centre Qld 4560