Development Application for permit damage vegetation - OPW13/0379

    5. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
    mandatory requirement.)

          No         D   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? (Referto notes at the end of this form for more information.)


    ~            1                             .




    a-Yes-comPlete eit~er          Table G, Table H or Table I as     applic~ble

Table G

Name of owner/s of the land
                                               AV’V’-~                  ~’"~~\.~\b.
I/We, the above-mentioned owner/s of the lan~
                                                        <j_nsent to the making of this application.
                                                        IlL
Signature of owner/s of the land                   1/
                                                   J Db     ~.   ’i                                                     ^




Date


Table H

Name of owner/s of the land


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

Table I

Name of owner/s of the land
        --
                                               Ptr\’1’\:\9- ’,~~~X~
12(By making this application, I, the app’licant, declare that the        owner has   given written consent to th~ 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                         D       Not identified whether or    D       Yes-complete Table J
                                    not the application
                                    involves a State
                                    resource




Table J

Nature of state-owned resource (if identified)




4                                                                                                     IDAS form 1-Application details
                                                                                                           Version 2.0 31 March 2013