Development Permit part 1 of 1 · OPW12/0412

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1. What is the nature of          development proposed? (tick all applicable box/es)                                          .."l!~                  I
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o material change of              use of   premises



g       building work

       operational work

o reconfiguring           a lot




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2. What   type of approval is being sought?               ,
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0’ development permit                       o preliminary approval            0 both-provide details below




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

prem

             street address/lot on the plan


       o street address/lot          on    plan for the land adjoining or adjacent to the premises (appropriate for 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 18December 2009