Development Application for permit to damage vegetation - OPW13/0554

                                                                                                                                              :::J




5.     Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
       mandatory requirement)                                                                                                         I
~ No           0     Yes-provide details below

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




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


rt     No

lJ5 Yes-complete either Table F, Table G       or Table H as    applicable

Table F

Name of owner/s of the land

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

Signature of owner/s of the land


Date


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             ~o..’"’1’"’0’""\        ~~~vJ
Q1 By making this a~ication, I, the appicant,doclare that the   owner has   given written consent to the m    rg of the appication.


7.      Identify if any of the following apply to the premises (Tick applicable box/es.)                                                  I
                                                                                                             Table I
0 Adjacent to a water body, watercourse or aquifer (e.g.creek, river, lake, canal)-complete
                                                                                             Table J
0 On strategic port land under the Transport Infrastructure Act 1994-complete
0 In a tidal water area-complete Table K
                                                                            Act 1994 (Notable requires completion.)
0 On Brisbane core port land under the Transport Infrastructure
                                                                   and Disposal)Act 2008 (no table requires completion)
0 On airport land under the Airport Assets (Restructuring

Table I

 Name of water body, watercourse or aquifer




 Table J

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




                                                                                                       /DAS form I-Application details
                                                                                                              Version 3.0-1 July 2013