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Amended DA Form 1 · OPW21/0173
PART 2 — LOCATION DETAILS 3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable) Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms Guide: Relevant plans. 3.1) Street address and lot on plan [7Street address AND lot on plan (ai fots must be listed), or (7 Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed). Unit No. | Street No. | Street Name and Type Suburb a) 5S MOSSMAN COAT NO0Sh HEADS Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s) GI 21647 NoosSé- Unit No. | StreetNo. | Street Name and Type Suburb b) Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s) 3.2) Coordinates of premises (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) Note: Place each set of coordinates in a separate row. (J Coordinates of premises by longitude and latitude Longitude(s) Latitude(s) Datum Local Government Area(s) (if applicable) (1 wese4 (1 Gpag4 (J Other: (J Coordinates of premises by easting and northing Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable) (154 (1 wess4 C155 (0 GDA94 (156 (J Other: 3.3) Additional premises (Additional premises are relevant to this development application and the details of these premises have been ‘ached in a schedule to this development application Not required 4) Identify any of the following that apply to the premises and provide any relevant details C1 In or adjacent to a water body or watercourse or in or above an aquifer Name of water body, watercourse or aquifer: | (1 On strategic port land under the Transport Infrastructure Act 1994 Lot on plan description of strategic port land: Name of port authority for the lot: (1 In a tidal area Name of local government for the tidal area (if applicable): Name of port authority for tidal area (if applicable): (1 On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 Name of airport: Page 2 DA Form 1 ~ Development application details Version 1.3— 28 September 2020
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