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Development Application IDAS Forms 1 & 6 permit to damage vegetation - OPW12/0589
ODD
- remises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. chann el
dredging in n Bay)
Zone Datum Local government
reference area (if applicable)
Easting Northing
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cUrrentl~e/s of the premise~ (~:g.vacaii ahd,house, apartm~ntbuilding, carie farm, etc.)
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fIJE S1 ENlG RouS
7. Pr vid~ brief des’ lpi ~ 6f iii~ j)Y~pC;s l (e~g.six unit apartrn~~t b~ilding, 3~ iq! r~~lliehti~ls:u.bdiY!iiO~,~~d :.,’
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8. Is owner’s consent reqUired f Hhi~’a’pp S~1Joni (~~fe~ton~te~ at the end of this f ~rri for rrHlre information)
~o (lJtntdmy tf~fllr/IN Vt7T1V)
DYes-complete eith er table DJ table E or table F as applicable’
Table D
Name of owner/s of the land
I/We, Lhe auove-lrlenLiolle owner I!> of Lhe laTl ,
WrI!>enl Lo [he making of Lhi!> application.
Signature of owner/s of the land
Date
3 AppNcation detai/s-IDAS form 1
VeFsion 1,0 18 December2009
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LI
Ta <premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in n Bay)
Coordinates Zone Datum Local government
(note: place each set of coordinates arate row) reference area (if applicable)
Easting Northing Latitude jtude
GDA94
| other
5, Total area of the premises on which the development is proposéd (indicate hectares orm?)
166 me
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)
NEAVENCE —__ Houve
7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential Subdivision etc.) on
NEmovAl, OF % TREEY , NATIVES Acog Broorwecd & bums”
8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)
re (feren/ my Cover/ing LATIR/)
LJ Yes—complete either table D, table E or table F as applicable
Table D
Name of owner/s of the land
1/We, the above-tnentioned owner/s of the land, consent Lo (he making of this application.
Signature of owner/s of the land
Date
3 Application details—IDAS form 1
Version 1.0 18 December 2009
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