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

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                                                                                                                                Department of State Development, Infrastructure and Planning III




  (Sustainable Planning Act 2009 version 2.1 effective 1 April 2013)


  This form must be used for development applications for building work or operational work assessable against a
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  planning scheme.

  You MUST complete ALLiquestions that ate stated to be a mandatory requirement unless otherwise identified on this
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  For all development applications,’you must:

            complete IDAS form 1-Application details
            complete any other forms relevant to your application
            provide any mandatory supporting information identified on the forms as being required to accompany your
            application.
  Attach extra pages if there is insufficient space on this form.


  All terms uS d on this form have the meaning given in the .Sustainable Planning Act 2009 or the Sustainable Planning
  Regulation 2009.
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  This form must be used for building work or operational work relating to strategic port land and Brisbane core port land
  under the Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act
  2008. Whenever a planning scheme is mentioned, take it to mean land use plan for the strategic port land, Brisbane
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  core      port land or airport land.

  This form can also be completed online using eDA at www.smarteda.qld.gov.au

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 ’ll1J y!hat is the !lature of the work that requires asses~ment against a planning scheme? (Tick applicable boxles,)~

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                                    BUilding work-complete Table A                                                                X       Operational work-complete Table B

  Table A

  a)        What is the nature of the building work made assessable in the planning scheme (e.g. building, repairing, altering,
            underpinning, moving or demolishing a building)?




  b)        Are there any current approvals associated with this ~pplication? (e.g, material changeof use.)

           D                       No                       D’ Yes- provide details beiow

          Lis.t of approval reference/s                                                                                  ,Date approved (dd/mm/yy)                     Date approval lapses (dd/mm/yy)




Great state. Great opportunity.
                                                                                                                                                                                               Queensland
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