Development Application part 1 of 2 IDAS Forms MCU13/0030

    Table F-premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
    adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
    space in this table.)

    Coordinates                                                        Zone         Datum             Local government
    (Note:place each set of coordinates in a separate row.)            reference                      area   (if applicable)

    Easting        Northing          Latitude           Longitude

                                                                                     0 GDA94
                                                                                     0 WGS84
                                                                                     0 other

    4. Total area of the premises on which the development is proposed (indicate square metres)


    1.892ha

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


I   Kabara Aged Care Facility



    6. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
    mandatory requirement.)

    ~      No      o        Yes-provide details below

    List of approval reference/s                        Date approved (dd/mm/yy)           Date approval lapses (dd/mm/yy)




    7. Is owner’s consent required for this application? (Referto notes at the end of this form for more information.)


    o      No


    ~      Yes-complete either Table G, Table H or Table I as applicable


    Table G

    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


    Table H

    Name of owner/s of the land             NOOSACARE INC


    ~ The owner’s written consent is attached or will be provided separately to the assessment manager


I
    Table I

    Name of owner/s of the land




    4                                                                                             IDAS form 1-Application details
                                                                                                   Version 20 17 December 2012