DOC070812 · OPW12/0255

 

C material change of use of premises
[-] building work

me operational work
CL] reconfiguring a lot

 

 

 

CE] 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

 

 

 

 

[A street address/lot on the plan

| street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
water e.g. jetty, pontoon)

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 plan description | Local government area
Unit | Street | Street name and official suburb/ | Post- Lot no. Plan type (e.g. Logan, Cairns)
no. no. locality name code and plan no.
42 [Wit street
Doosé HeAts | 56]

 

 

 

Application details—IDAS form 1

Version 1.0 18 December 2009