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Development Application IDAS Forms 1 & 6 permit to damage vegetation - OPW12/0589

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           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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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


[OCR of page images]
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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