OPW13/0937 Application for permit to damage vegetation 136 Gympie Terrace Noosaville

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      2.          Location of the premises (Complete Table 0and/or Table E as applicable. Identify each lot in a separate row.)


      Table D-Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
      adjacent to the premises (Note:this table is to be used for applications involving taking or interfering with water).
      (Attach a separate schedule if there is insufficient space in this table.)
              D      Street address and lot on plan (All lots must be listed.)

              D     Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
                    development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
      Street address                                                             Lot on plan                      Local government area
                                                                                 description                      (e.g. Logan, Cairns)

      Lot          Unit    Street       Street name and official      Post-      Lot no.      Plan type
                    no.     no.         suburb/ locality name         code                    and plan no.


      i)                    \~           G.’iMP(           ~                                         I




      ii)                               Nc::DSIN I Uk--
      ii i)

      Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
      separate row in the below table. Non-mandatory)
      Lot          Applicable zone / precinct              Applicable local plan / precinct              Applicable overlay/s

      i)
      ii)
      iii)

      Table E-Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
      adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
      space in this table.)

      Coordinates                                                                  Zone          Datum                 Local government
      (Note:place each set of coordinates in a separate row)                       reference                           area   (if applicable)

      Easting             Northing              Latitude        Longitude

                                                                                                  D       GDA94

                                                                                                  D       WGS84

                                                                                                  D       other


      3. Total area of the premises on which the development is proposed (indicate square metres)




      4. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm etc.)




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                                                                                                                  /DAS form 1-Appltcation details
                                                                                                                         Version 3.0-1 July 2013



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