Development Application Part 1 of 2 - IDAS Forms 1 and 6 - OPW13/0309

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

I
                                                                                                                                                                      reference                                                                   area       (if applicable)
        (Note: place each set o!coordi_l1a_tes in a separate row.)
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                                     1

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            IZl        No                    o                 Yes-provide details below
                                                                                                                                                                                                               -




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




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            D’ No
            IZl        Yes-complete either Table G, Table H or Table I as applicable

            Table G                                                                                                                                                                                                            ....
                                                                                                                                                                                                                                                                                                     :



            Name of ownerls of the land                                                           Paul Gerard McDonald

                                                                                                                                                                                         of this application.
            l!We, the above-mentioned ownerls of the land: consent to the making

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            Date                                                                                               1~1Lf-lt3
            Table H

            Name of ownerls of the land


            D The owner’s written consent is attached or will be provided separately to the assessment manager


        I
        .
            Table I

            Name of ownerls of the land,
                                                                                                                                                                                                                                                                                                     I
                                                                                                                                                                                                                                      IDAS form 1-Application details
         4
                                                                                                                                                                                                                                          Version 2.0 17 December 2012