Development Application for permit to damage vegetation - OPW13/0647

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


~ 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.)


o      No

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


Table G


Name of owner/s of the land
                                          &vo,:ro\\        ~   E7r0("w,o r’\       ~o.~~vd
I/We, the above-mentioned owner/s of the land, consent to the making of this application.

Signature of owner/s of the land
                                          ~                      ~
Date
                                          22’08’r~
Table H

Name of owner/s of the land           I
oThe owner’s written consent is attached or will be provided separately to the assessment manager

Table I


Name of owner/s of the land           I
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.)

Ii     No                o     Not identified whether or       0 Yes-complete Table J
                               not the application
                               involves a State
                               resource




Table J

Nature of state-owned resource (if identified)




4                                                                                            IDAS fonn 1-Application details
                                                                                                  Version 2.031 March 2013