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07/2552 - MCU - Detached House [As Published] · 132007.2522

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INTEGRATED PLANNING ACT 1997 Part A, Version 3 0, 3 September 2007

2. Can the premises best be identified by coordinates (e g. for development proposed in waters or on a site within a large rural jot)?

 

 

 

 

 

 

No
|] Yes - Complete Table E
Table E
Coordinates
(place each set of coordinates in a separate row) sone eee Local government area
Easting Northing Laitude Longitude
1. Zone Reference:
C) GDA94 (preferred)
(1 wesea

[_] Other ~ Specify

 

 

 

 

 

 

 

 

 

3. Are the premises within or adjacent to a water body or watercourse?

MM No

[] Yes - Complete Table F and answer Q3(a)
Table F

 

Name of water body or watercourse

 

 

1.

3(a) {s any part of the development proposed in tidal waters (ie below high water mark)?

 

 

 

 

 

[| No
[] Yes
lf yes, is the land in either or both of the following ~
e A tidal area for a loca! government []No  {_] Yes - Complete Table G, Column 1
e A tidal area for strategic port land []No  {[_] Yes - Complete Table G, Column 2
Table G
| COLUMN 4 COLUMN 2
Name of local government (if applicable) Name of port authority (i applicabie)
i

 

 

 

 

4. Whatis the total area of land that makes up the premises (ie. the area covered by the application)?

 

 

 

 

Area of tand above high water mark/outside watercourse Area in a water body or watercourse
6A ( m2 [_] hectares (Tick applicable unit) min . IO m? [_Jhectares (Tick applicable unit)

 

 

Existing use of the premises

5. Are the premises currently used for any purpose?
No

[ | Yes - Ensure details of any existing use of the premises are provided in plans and documentation submitted with this application, ¢.g.
location and nature of existing uses, buildings, structures and services

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