Development Application for Permit to Damage Vegetation - OPW13/0468

6. Are there any cumtnt approvals (e.g.a preliminary approval) associated wtth this application? (Non-
mandatory requirement.)

o      No      o     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,)


~      No


D      Yes-complete either Table G, Table H or Table I as applicable

TableG

Name of ownerls of the land


l!We, the above-mentioned ownerls of the land, consent to the making of this application.

Signature of ownerls of the land


Date


Table H

Name of ownerls of the land


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

Table I

Name of ownerls of the land


o By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application,



7. Does the application Involve a state resource? (E.g,the application involves taking water or quarry material, or
interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
requirement.)

~      No                o     Not identified whether or   o   Yes-complete Table J
                               not the application
                               involves a State
                               resource




Table J

Nature of state-owned resource (if identified)




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