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06/0159 - Op Works - landscaping, Driveway and Stormwater [As Published] · 142006.159
15/12/2085 16:48 e7s4a7aq9a6 MIDDAP: DITCHFIELD PAGE 03/03
INTEGRATED PLANNING ACT 1997 Part A. Vernion 2.2, 25 July 2008
Land cwnvac’s consent 1 apxstonbie) 20. Land owner's consent te the making of this application:
sewn = a
. nee ONE. $n Dh. CLR Sod
sa whiny were =e INS Oliver Prepach<sRi.. OE aA = a es
~a maerial change of une; H
* Wale od. Aseser beweesennascens ,
fl} work on land blow highswana? maf riot witha
0 canal as aednee under th Coaited Protection
08 Maregnenant dct Wier .
OM) werk On el arte fret dated unvdar e
Trananot iotenrustue Agt thd.
| + onenener's
carneta % hat:
For mare twlorasion refer io Goad 1, .
Rewoaree entiivenant 7 apodentie} 21. Does this application invalve fuking or itarfaring with (thr Pan miarrig i quwry Hite on Sw
mast aan er weve | coastal and ner ne Constal Protection end Managemen! Act 1596) @ State reeource?
/ poh yatta NO - gow 024 (1 YES = pam 092
Rak pieatet tien Merng _ |22. 1h applica is required by regulon to be sccomperved by evidence: it aaseabe ae
Repuleten piteerhoee of ovideten
munmydemeanammanesurte’| CI) Of he aiveptiog of or entitemant to, the reecuree ~ seach evidence
ceniprnert soph. CD qi) erga exealtve cf fa cenarimént sctrnitaring the resource sated the develope ip
o Of, oF enttiikment to, the resource ~ 90 44 029
(i) fe cia exacuive Of th apartment aarunieerry the rescurca i untied tre devotopment
application J 04, entitierent io the resource -
. ' . Pwo
Alen far commana Cy 23. Evidence of the resource entitement: : .
howlwert iS pase ey enitlemert / detats (w) OM stp othe dapartent
the of ‘ mini
' ane Rone ee ies Nataring the resource a
sroplcation inveivaa ‘ang or AR water or (i)
‘fverine query restieay unciar the Hater Aqt 2000,
Presse fee
pee
a
nme —$<rencreseniiinenaygeeen
=
ci
_
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j
+
1
i
i
7
. (ne ,
2, isthe DAS Assessment Chocklit completed and ateched io ts appiealant
‘This checlaut vote pay ecu tte appteniion recuives| .
er fete i Yes NO ~ t%0 casesament maneger refuse tc accept thie spofcetion
eomucarea | Pir a thao bs ret veer pars eee
"we TT Semen le:
Raa | reign pects wun |e! accompanying this applivation:
pot am prevent et eta . Plan { Drawing / Report Number
Wenger, Apericies tnd ary perce viening
Whe spptiontion: orveny
makasion inden Peas
900 any potantaliergent,
‘
ars aecncenee neeneendeceeeeecones
waste —m ee
eam a
PLEASE NOTE: Te steevememn
and ary olter rebevant par ef Form 4,
OFFICE USE OMLY rent mepagera)
EH GeO eae TL, ni"
Notification of Engayemenl of Private Certites/ocane arcs
Menege may refsee te eccanl an application that, wt the tme of lodgement, fait to ovovide ait anpiicable information renuinag by Per 4
hated Teer deg —
To Cound. | hove boon engaged as ina Prtrate certiter for the aunty wart retetyes tn in thie watator,
| Daw ofenpepement: f 7 Ateeatiisten Number. Nae
Signstare:__ |
€@ 390d vd SNOD MBAITO ON
GEBSEGRBED
Q7'bT ceanrs7T/az7
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