OPW17-0167 Veg Application · OPW17/0167

      

Soe ha aS ae SINS SE Se ERAS ee ieee
Spaeth meee! BSN ae Mee SERGE ey Ga Hiei SH STP eR ER ee ace OS ES Fee

 

 

| Table K

 

Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the
receipted QLeave form

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number
: (dd/mm/yy) _ | Starting with A, B, E, L or P)

 

 

 

 

 

  
  

ie roi
ola See, a

RY No

[| ] Yes—please provide details below

 

 

 

government agreed to-apply a'supe
section: 96 of. the Sustain lable Planning:Act 20097.

 

 

 

Name of local government Date of written notice given | Reference number of written notice given

by local government by local government (if applicable)
(dd/mmiyy)

 

 

 

 

 

 

IDAS forim Fen fig ap sdiccctficste sdeteuis

Iutens ee teh ahe=
ESS Sirs Perec ee

C

 

gS arta oeop pte teens easter