Development Application IDAS Forms 1 & 6 Vegetation Removal · OPW12/0233

       ODD
Table E

Name of ownerIs of the land
                                                          I
D The owner’s written consent is attached                      or will be            provided separately to the assessment manager




Table F

Name of ownerls of the land
                                                          I
D By making this application, I, the applicant, declare that the                                       owner has       given written consent to the making of the
application.


 9. Does the         ti’ n involve a state reso
                       appiic                                     r           (e.g.the pplication invo ves stat~ land, oi-taking quarrY m~terials. ::;:
                                                                                                                                         .                                  .




 Ref~r to the notes ~t~e end’~fthis f~rm for m
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 Il:VNO                                               D Yes-complete table G

 Table G-state owned resources (provide details for each state resource in a separate table)

 Nature of state-owned resource




 Nature of evidence required (tick the
 applicable box and attach a copy of the
                                                                 0 Evidence of                         an allocation        of, or an entitlement to, the resource
 evidence to this form)


                                                                            the chief executive of the department administering the
                                                                 0 Evidence is satisfied the              is consistent with allocation
                                                                                  resource                              development                                an

                                                                                  of, or an entitlement to,the resource


                                                                 0 Evidence the chief executive of the department administering the
                                                                                   resource is satisfied the            development application may proceed in the
                                                                                  absence of an allocation of, or an entitlement to, the resource


                                                                                                                        ’


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 D adjacent to water body, watercourse
                                  a                            or aquifer                (e.g. creek, river, lake. canaO-complete table H

 D             on   strategic port land under the Transport Infrastructure Act 1994-complete table I

 D in           a tidal water          area-complete table J



Table H                Name of water body, watercourse or aquifer




                        4                                                                                                                Application details-/DAS form 1
                                                                                                                                             VerSi0(11.0 18December 2009