Development Application for permit to damage vegetation - OPW13/0554

Table K

Name of local government for the tidal area (if applicable)       Port authority for the tidal area (if applicable)




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



[1f No      0 Yes-ensure the type, location and dimension of each easement is included in the plans submitted

9.    Does the proposal include new building work or operational work on the premises? (Including any
      services)

o     No    iii    Yes-ensure the nature, location and dimension of proposed works are included in plans submitted


                                                                                                                        the
10.   Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at
      end of this form for more information.)


[2f No-go to question 12          DYes

      Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
      information.)

      No

                                                                                                       certifier’s copy of the
o     Yes-complete Table L and submit with this application the yellow local government/private
      receipted OLeave form

Table l

Amount paid                                                     Date paid       OLeave project number (6digit number
                                                                                starting with A,       E, L or P)
                                                                (dd/mm/yy)                         ,




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    Has the local government agreed to apply a superseded planning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


 bZ1 No
 o Yes-please provide details below
                                                Date of written notice given   Reference number of written notice given
 Name of local government
                                                by local government            by local government (if applicable)
                                                (dd/mm/yy)




                                                                                               JOAS form 1-Appllcatlol1 detm/s
                                                                                                      Version 3.0-1 July 2013