09/1058 - Change a Development Approval [As Published] · 132009.1058.02

4 “

 

Table C—premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)

 

 

Coordinates Zone Datum Local government
(note: place each set of coordinates in a separate row) reference area (if applicable)
Easting Northing Latitude Longitude

 

{_] spas,
L_] wese,
| Other

 

 

 

 

 

 

 

 

5. Details of the proposed change.”

 

 

 

filter Cerngtitiary 32 +e aellapy (NAxIMUrY belaing Aerght of
BC 68F mr, :

 

 

 

 

yee pan eT ae AE GR Be
"6. Is owner's consent required for.
I x

[| Yes—complete either table D or table E as applicable

 

 

 

Table D

 

Name of owner of the land

 

1, the above-mentioned owner of the land, consent to the making of this request.

 

Signature of owner of the land

 

Date

 

 

Table E

 

Name of owner of the land

 

 

[ ] The owner’s written consent is attached

 

 

 

 

3 Request fo change an axisting approval template
Version 1.1 March 2010