Development Application IDAS Forms 1 & 6 · OPW12/0178

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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 ,?,f the pre’!lis s 9n which the development is proposed (indicat~ hectares or m2)              ’:;"2~~
        1",’"
                                                                                                               ~               ’,~’...
                                                                                                                   ~....


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




                        ~                                                                .                     ( ~,;:.,’f.’ ’;;_~_.j~’
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     ~~6:


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


                              C!)~     ~LAC-\(._   WAT\uC          ~ lJy\\C}i                W! ~t1                  t>~s

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




 D          No


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



Table 0

 Name of owner/s of the land                       ~ ~(\L6.
 I/)the above-mentioned owner/s of the land, consent to the making of th is application.
        ,




 Signature of owner/s of the land
                                                       ~tI   r


 Date                                                        1.~1 bIL.o\’L


                        3                                                                        App/ cation deta /s-IDAS form 1
                                                                                                     Vers on 1.0 18 December 2009