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Development Application for Permit to Damage Vegetation 116 Blueberry Drive Blackmount · OPW13/0344

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                                                                                               .;




Fax number (non-mandatory requirement)


e-mail address (non-mandatory requirement)

                                                           I ;rl.  harrison 1 [email protected]




Applicant’s reference number (non-mandatory
requirement)


~~~~~t j’s;"tb!" n!ltur~""~[t6e"’devc;JOP’J!~t0P!o~ps"ed "~ what type ’If ap~r2;,!a(is:beini~o~g’lti ’~
Table A-Aspect 1 of the application (If there are additional aspects to the application please listin Table B-Aspect 2.)

a)         What is the nature of the development? (Please only tick one box.)

                                                                             0 Building work           X Operational work
      ,
           0Material change of use           0 Reconfiguring a lot

 b)         What is the approval type? (Please only tick one box.)

           o Preliminary approval            o Preliminary,approval          X   Development permit
                   under s241 of SPA              under s241 and s242
                                                  of SPA

 c)         Provide a brief description of the proposal, including use definition and number of buildings or structures where
            applicable (e.g. six unit apartment building defined as a multi-unit dwellng, 30 lot residential subdivision tc.)


      I    CLEARING VEGETATION




 d)’        What is the level of assessment? (Please only tick one box.)

           o Impact assessment         I     X Code assessment




 Table B-Aspect 2 of the applicatio!", (If there are additional aspects to the application please ,list in Table C-Additional
 aspects of the application.)

 a)         What is the nature of development? (Please only tick one box.)’

                   Material change of us~    0 Reconfiguring a lot           o Building work           o Operational work

 b)         What is the approval type? (Please only tick one box.)

            o Preliminary approvai           o Preliminary approval          o Development
                   under s241 of SPA              under s241 and s242              permit
                                                  of SPA

 c)         Provide a brief description of the proposal, including use definition and number of buildings or structures where
            applicable (e.g. six unit apartment building defined as a multi-unit dwellng, 30 lot residential subdivision etc.)

                      r




,


 d)         What is the level of assessment?

            o Impact assessment              o Code assessment




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