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Development Application IDAS Forms 1 & 6 · OPW12/0178

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    D          material change of use of premises


    D          building work

               operational work

    D          reconfiguring a lot

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     ~             development permit                            D           preliminary approval                       D         both-provide details below




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                No


     D Yes-complete table A and then go to question 5

     Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




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     Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
      premises

                                street address/lot on the plan


               D street_address/lot                     plan for the land adjoining or adja.centto the premises (appropriate for development in
                                                        on


                                "Yater e.g. jetty, pontoon)
      Street address                                                                                                    lot on plan description                                   local government area
                                                                                                                                                                                  (e.g. Logan, Cairns)
      Unit           Street             Street name and official suburb/                                        Post-   Lot no.          Plan type

       no.              no.             locality name                                                           code                     and plan no.


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

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