Application for permit to damage vegetation 18 Delorme Street - OPW13/0684

2.        Location of the premises (Complete Table 0and/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 water).
(Attach a separate schedule if there is insufficient space in this table.)
       !S21    Street address and lot on plan (All lots must be listed.)

       o       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.


              LB                     Lo R.(h. G
                                   D (                            l{sf,:j- l3Y r<.1P IhOLJ~S                   SUSHINC=         COHSI
i)                                   S   Rt;G-

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 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

                                                                                             o       GDA94

                                                                                             o       WGS84

                                                                                             o       other


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


                     PR.outJJ) 10 SCD-U/4R-G-                        Mf!:TKt-3

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



                        HolJS G-




                                                                                                             IOAS form 1-Application details
                                                                                                                    Version 3.0-1 July 2013



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