Development Application IDAS Forms 1 & 6 - OPW12/0550

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               ODD

     1. What is the nature of    development proposed? (tick all applicable box/es)


     o material change of        use of   premises

     o building work
     ~operational         work

     o reconfiguring lot    a




I    2. What type of     approval is being sought?


     Q/ development permit                o preliminary approval         0 both-provide details below




     3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?



     [g/NO
     o 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




     4. location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)



     Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
     premises
            ~treet address/lot      on the   plan

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


     Street address                                                    lot on plan description     local government area
                                                                                                   (e.g.logan, Cairns)
     Unit     Street     Street name and official suburb/    Post-     lot no.    Plan type

     no.       no.       locality name                       code                 and plan no.


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                     2                                                                         Application details-IDAS form 1
                                                                                                 Version 1.0 18 December 2009