Form 1 and 7 · REC14/0015

Lot Applicable zone / Applicable local plan / precinct Applicable overlay/s
precinct

i)
ii)
ili)

 

 

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

(Note: place each set of coordinates ina _ |reference government

separate row) area (if
applicable)

 

Easting |Northing |Latitude |Longitude

 

GDA94

WGS84
other

 

 

 

 

 

 

 

 

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

 

 

] At 4e me

 

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

 

 

| HOUSE PMD VACANT AAND

 

6. Are there any current approvals (e.g. a preliminary approval)
associated with this application? (Non-mandatory requirement)

 

 

 

()Yes—provide details below

 

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

 

 

 

 

 

6. Is owner’s consent required for this application? (Refer to notes
at the end of this form for more information.)

 

 

 

No THE APPLICANT LS THE OWNER |

Yes—complete either Table F, Table G or Table H as applicable

 

Table F

TABLE E
NOT APPLICABLE |

RITA .
/§ THEE
BAI EX)STINE
Hovske Od WE
Ok THe 4075 ~
LOT 7H ?

Dnt +