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MCU16/0036 Development application - 52 Gevers Rd, Black Mountain

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                                                                               Department of Infrastructure, local Government and Planning



 2.         Location   of the premises    (Complete Table 0 and/or Table E as applicable.           Identify each lot in a separate row.)

 Table D--Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
 adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with waler.)
 (Attach a separate schedule if there is insufficient space in this table.)

        ~      Street address and lot on plan (All lots must be listed.)

        D      Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
               development in water but adjoining or adjacent to land, e.g. jelly, ponloon. All lois must be listed.)

 Street address                                                            Lot on plan                      Local government       area
                                                                           description                      (e.g. Logan. Cairns)

 Lot         Unit      Street     Street name and official      Post-      Lot no.         Plan type
             no.       no.        suburb/locality name          code                       and plan no.

 i)                    52         Gevers Road, Black            4563       3               RP205193         Noosa
                                  Mountain, aid

 ii)

 iii)
 Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
 separate row in the below table. Non-mandatory)
 Lot         Applicable zone / precinct              Applicable local plan / precinct              Applicable overlay/s
 i)

 ii)

 iii)

 Table E-Premises      coordinates (Appropriate for development in remole 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

                                                                                               D GDA94
                                                                                               D WGS64
                                                                                               D other
 3. Total area of the premises        on which the development          is proposed     (indicate square metres)

13g840

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


I Rural residential




                                                                                                           IDAS fann 1-Application details
                                                                                                               Version 4.2-3 August 2015
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