DOC070812 · OPW12/0255

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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

 

[_] eDA94
[-] wess,
C] other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

\ tree to be remoed - as por report attached
on the Loord om of Mie tennis Court.

 

 

 

 

[A No

LE] 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 18 December 2009