Development Application Vegetation Removal Idas Forms 1 & 6 - OPW120597 · OPW12/0597

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      ODD
    Table E


    Name of owner/s of the land
                                                                                                 ""’1’7-           vrr                               ~
    c::Jrhe owner’s written consent is attached                                               or will be   provided separately to the assessment manager




    Table F

    Name ofowner/s of the land
                                                                                               r~                L V                            .::r- _:5 ~

    Q.;!v making t~is application, I,                                              the applicant, declare that the owner has given written consent to the making of the

    application.

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    9~. D es tn~ appl’i pti’oo involve a state resource~? (e.g:thE;!’~pplication ’~         inyolveS’stat land,torc’faKing  quarry materials" ""
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    ErNO                                                                       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                                                    D          Evidence of an allocation of, or an entitlement to, the resource
     evidence to this form)                                                                                                                                                           /’

                                                                                                           Evidence the chief executive                                       e   department administering the
                                                                                                D
                                                                                                                                                                     elopment is consistent with an allocation
                                                                                                                                                          ,
                                                                                                                                                                the resource



                                                                                                 D         Evidence th                      hief executive of the department administering the
                                                                                                           resource’ satisfied the development application may proceed in the
                                                                                                           absen




     D                                                                                              quifer (e.g.creek, river, lake, canal)-complete table H

     D                                                                                   ransport Infrastructure Act 1994-complete table 1

     o

     Table H




                                         4                                                                                                                                        Application details-IDAS form 1
                                                                                                                                                                                    Version 1.0 18 December 2009