Development Application for permit to damage vegetation - OPW13/0952

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    Table K

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




    8.    Are there any existing easements on the premises? (e.g.for vehicular access, electricity, overland flow,
          water etc)



    [)-No D            Yes-ensure the type, location and dimension of each easement is included in the plans submitted


    9.    Does the proposal include new building work or operational work on the premises? (Including any
          services)

    QAo         D      Yes-ensure the nature, location and dimension of proposed works are included in plans submitted


    10.   Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the
          end of this form for more information.)


    ~o-go questionto          12      DYes

    11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
          information.)

    D     No

    D     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 (6digit number

                                                                    (dd/mm/yy)         starting with A, B, E, L or P)




          Has the local government agreed to apply a superseded planning scheme to this application under
          section 96 of the Sustainable Planning Act 20091


          No

    D     Yes-please provide details below

    Name of local government                        Date of written notice given   Reference number of written notice given
                                                    by local government            by local government (if applicable)
                                                    (dd/mm/yy)




                                                                                                   IDAS form 1-Appltcation details
                                                                                                          VersIOn 3.0- -1 July 2013



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