Development Applicaton for permit to damage vegetation - OW13/0168 · OPW13/0168

    .
        Table C-:Additional aspects-of the application (Ifthere are additional aspecls.tD lhe appIicationplease list in a
        separate table on an extra page and aHach to this fonn.)

                    o Refer attached schedule D Not required


        2. Is the application for a mobile and temporary environmentany relevant activity (ERA)?


        o               N~ntinue to question 3


        0
        .



                        Ye~plete Table:D-and .then go to question ’6

        Table D-name ofeach local government area in which the.mobile’and tempomry ERA is.proposed to operate




        3. Location of the premises (CompleteTable E and/or Table F as appIicabIe_                     Identify each lot in a separate row_)

        Table E-slreet address and lot on plan for 1he premises or street address and lot on plan for the land adjoining or
        adjacent to the premises. (Note:this’t is to be sed for applitions involVing laking or interfertng with water).
        (Attach a separate schedule if there is insufficient space in this table.)
                   rn Street address and foton plan (Alllots must be listed.)
                   0 Street address and lot on plan for the land adjoining or adjacent to 1he premises (Approprtatefor
                         development in water but adjoining or adjacent to land, e.g.jetty, pontoon. All lots must be listed)
        Skeet address                                                                Lot on plan                       Local government area

            ,          l-GSLIG D<L\\](? k.\~p                      1-\e-f’     S
                                                                                     desc      ption   tCi         ’




                                                                                                                       (e.g.-Logan, cairns)

            Lot        Unit    Street       Street name and offi             Post-   Lot no.      Plan type
                                            suburb/locality name         code                     and plan 00.
                        00.     00.
                                                                                                                       6Cf<
            i)                  I$?         LeSLI6         DI{_\\l (7 14$"67           (G{        C?P ,:lg 7qt
            it)
        iii)
            Planning scheme details (Ifthe premises involves multiple zones,clearly identify the relevant zonels fur each lot in a
            separate row in,the,below table. Non-mandatory.)
            lot        Applicable zone I precinct            Applicable local plan/ precinct                 Applicable ovedayls

~           i)
            ii)
            iii)




        3                                                                                                              IDAS form 1-Application details
                                                                                                                        Version 2,0 17 December 2012