Development Application - Part 1 of 2 - Covering Letter, IDAS Forms 1, 6 & 28, Title Search & Compliance Certificate 15 · OPW12/0511

        ODD
    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


                                                                                           D GDA94
                                                                                           D WGS84
                                                                                           D other


    5. Total area of the premises on which the development is proposed (indicate hectares or m2)



      1~~f’(\:z.


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




I    .House.



    7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)



    PMak P             ~’


I
    8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)



    D      No


    [RJ Yes-complete either table D,table E       or table F as   applicable


    Table D

    Name of owner/s of the land


    I/We,the above-mentioned owner/s of the land, consent to the making of this application.

    Signature of owner/s of the land                                                           "




    Date




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