OPW13/0874 Application for permit to damage vegetation 6 Flooded Gum Place

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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 existin~ easements on the premises? (e,g, for vehicular Ar.r.P.f R, AIAr.trir.ity, (wprli1nd flow,
        water etc)


[;gJ   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)

[;gJ   No    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.)


[;gJ   No-go to question 12         DYes

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

[XJ    No


D      Yes-complete Table L and submit with this application the yellow local governmenUprivate 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)




12.    Has the local government agreed to apply a superseded planning scheme to this application under
       section 96 of the Sustainable Planning Act 2009?


[;gJ   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-Application details
                                                                                                         Version 3.0-1 July 2013



                                                                   Meeim,