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

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     ODD
Table I                     lot on plan description for strategic port land                                                                         Port authority for the lot




Table J                     Name of local government for the tidal area (ifapplicable)                                                              Port authority for the tidal area (ifapplicable)




X~~Af~’jh:’~f ##.y;,~~i~i(~,~"~~~~m:~~~..p’6:;ih: [~T.i’~~~i.J~:#::l?FYi~jA~ #i:k~Wis;.’~i~~!flmy~’gY~h~’~~;fj.o:W/~~t~r~’~~~.~.
                                                                                                .




D            No             ~Yes-ensure the type, location and dimension of                                                           each easement is included in the plans submitted




~~;’ D.~~~.t~~.’~N#9~~J I~~l@!ff#~.’~~.@(~!.W#r~.oYo.p~~~fi~##.(~.~r~, H !h~ p,"~mi~~~!.Ji?{I@ ~~riY~~N( ~~j ......                                                                                                                .




0NO D                                Yes-ensure the nature, location and dimension of proposed works are included in plans submitted




0’No-go question             to                    15                   DYes

’14~ Has the portabl; ~ng seiVl
     .
                                                                        le velevv been paid? (referto i iies tthe end of this form for rr; I’~ i~fo;~ni tion)’    .
 .
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D            No


D Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the
             receipted QLeave form


Table K                     Amount paid                                              Date paid                                 QLeave Project Number (6digit number starting with A, B,
                                                                                                                               E, Lor P)




is. Has,t~e-l~. al g vernr.e~t ~.gr.~e’d to.~pply a supersed~d plai1l1ing .sch net’~ ’thIs a~pllcatlon                                                                                               nci!!~.section 96 f
~~e_ ~’!~t~I.I!~l?le.fl.,!l!t!’-,!8~~I2’!f!~?~’ ..... .’_’:> :                               ’.: :-.                                                                                                             .:
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~NO
o 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 (ifapplicable)




                             5                                                                                                                                         Application details-IDAS form 1
                                                                                                                                                                         Version 1.0 18 ecember2009

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