Development Applicaton for permit to damage vegetation - OPW13/0167

             Table F-premises coordinates
                                               (Appropriate for development in remote areas, over
             adjoining or adjacent to land e.g. channel dredging in Moreton                       part of a lot or in water not
             space in this table.)
                                                                            Bay.) (Attach a separate schedule if there
                                                                                                                         is insufficient

             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
                                          .,..,
                                                         >11’’’’            ", &: ’f?hz                        ’"
        o’J4; Total area 01 !!1!’,e,~!w~,!,C!!,2,IJ,                                                     .                           ,


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       /607                m2


            5. C~rrent
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                                                          use/s~nh \’Piem ses,(e.g/.1vacant lan’d, ho se,
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            House




            6. Are there any ’current
                           ’"’9:l               1ft!
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                                                                                          ~
                                                                                                        approvais,.(e.g.                                preliminary approval) associated with this application?
       "mandatgry reqY,fre:P1.,~nt.),;, u:,,’                                                     ~.)
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        [gJ                      No                              o                 Yes-provide details below

        List of approval reference/s
                                                                                                                                                             Date approved
                                                                                                                                                                                                   (dd/mm/yy)                                                    Date approval lapses
                                                                                                                                                                                                                                                                                                                                         (dd/mm/yy)


       7. Is owner’s                                               onse,nJ’reqUiJe(f:f rtt\i~;iapl’iljcation:t1(R~ferJo n t~~: t~~~
       ~-                                                                                                                                                                                                                                                                           :,"’2"=:-~, ~;>\i’i:{:,                    /,;~ ",,.;/):\:{/. ,~
                     ~,v    "i!           \:~
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             .

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                                                                                                                                                                       ~;;,:~   ’~<)*",\~->;i;m          ’-,,-)>)Jt&i’;4,,<\   ".   <",          a:
                                                                                                                                                                                                                                                                                    "for more irif rmatiorr;)’
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       o                    No

       [gJ Yes-complete either Table G, Table H or Table I as
                                                              applicable

       Table G

       Name of owner/s of the land                                                                                                                                                                                                    .

                                                                                                                                     JS and C Baynes

      I/We, the above-mentioned owner/s of the
                                                                                                                                                  land, consent to the making of this
                                                                                                                                                                                                                                            application.
      Signature of owner/s of the land
                                                                                                                                     c::::-3~Z$?:-
      Date                          O:J.../ ?J/~OI3                      0
                                                                                                                                          ~o""’.,....y                          B.A"""..y ~h
                                                                                                                                                                                                          ~

                                                                                                                                                                                                                                                 ~/
                                                                                                                                                                                                                                                   ~~-
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                                                                                                                                                                                                                                                                                              -
                                                                                                                                                                                                                                                                                                                  B.d r....y.e <.



      Table H

      Name of owner/s of the land
                                                                                                                              I
      oThe owner’s written consent is attached or will be
                                                                                                                                                                 provided separately to the assessment
                                                                                                                                                                                                                                                                              manager



I ~ameTable I

                       of owner/s of the land


!.f
                                                                                                                                                                                                                                                                      IDAS form 1-App/cation details
                                                                                                                                                                                                                                                                              Version 2.017 December 2012