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Development Application for Permit to Damage Vegetation - OPW13/0356

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     Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
     separate table on an extra page and attach to this form.)

               o Refer attached schedule                  ~Not required


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


     Table E-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 water).
     (Attach a separate schedule if there is insufficient space in this table.)

             I2f          Street address and lot on plan (All lots must be listed.)

             0 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. jetty, pontoon. All lots 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.

                                              D..,   1.   n    L\      _C-’
     i)                          ~c<b            .
                                                          ~’--                ~1
     ii)                                      ~~ SA-,t’\            Onve
     iii)                                                     noSSPtSp nOyi’.
     Planning scheme details (If the premises involves mult[ple 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 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
     3. Total area of the premises on which the development is proposed
                                                                                                     (indicate square metres)

            ~J"’\.r_
     4. Current use/s of the premises (e.g. vacant land, house,
                                                                                       apartment building, cane farm etc.)


     f-(Q)c)     ".iIit




                           3
                                                                                                            Application details-IDAS form 1
                                                                                                                   Version 2.0 31 March 2013

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