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Application for Permit to Damage Vegetation - OPW13/0927

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                                                                      ....   .........   .........




       Fax number (non-mandatory requirement)
                                                                             I~
..e-maif address (non-mandatory requirement)
                                                                             I@ :;:
       Applicant’s reference number (non-mandatory
       requirement)                                                          I
       1.What is the nature of the development
                                                          proposed and what type of approval is being sought?

       Table A-Aspect 1 of the application (Ifthere are additional
                                                                                                     aspects to the application please list in Table B-Aspect 2.)
       a)   What is the nature of the development? (Please
                                                                                         only tick one box.)
            D Material change of use         D Reconfiguring a lot                                           D Building work         IOperational work
       b)   What is the approval type? (Please only tick one
                                                                                          box.)
            o Preliminary approval           o Preliminary approval                                          ~Development
                 under s241 of SPA                   under s241 and s242                                          permit
                                                     of SPA

      c)    Provide a brief description of the proposal, including use definition and number of
                                                                                                                               buildings or structures where
            applicable (e.g.six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)




      d)    What is the level of assessment? (Please only tick one
                                                                                                     box.)
            D Impact assessment              ~Code assessment

      Table B-Aspect 2 of the application (If there are additional
                                                                                                     aspects to the application please’   In Table C-Additional
      aspects of the application.)

      a)    What is the nature of development? (Please only tick one
                                                                                                       box.)
            o Material change of use        0Reconfiguring a lot                                                                     D Operational work

      b)    What is the approval type? (Please only tick one box.)

            o Preliminary approval          o                                                                o Development
                 under s241 of SPA                                                                               permit


      c)    Provide a brief description of the p.      osal, including use definition and number of buildings or structures where
                                                    building defined as a multi-unit dwelling, 30 lot residential subdivision.etc.)




      d)    What is the   vel of assessment?

            o 1m act assessment             0Code assessment

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