Development Application part 1 of 2 IDAS Forms 1, 7 REC13/0094

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             Table F-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 government
             (Note: place each set of coordinates in a separate row.)               reference                          area   (if applicable)
                 Easting       Northing         Latitude          Longitude

                                                                                                 D     GDA94

     ~
                                                                                                                                              ,

                                                                                                                                              .



     LeASt Qf7 FI7f.-                     O S’’Tl7    PLfJN)                                     D     WGS84

                                                                                                 D     other


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


                           3. 17& Ita..,               31 I ’7&0 sq... Me;;W.e,
                 5. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)



                        ’~LGWlcl ~oo’sn~ house..
                                                                      I




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

                 I No          D      Yes-provide details below

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

                           -
                   -




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

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

             Table G


             Name of owner/s of the land                                                                       "



                                                                                                               o.




             I/We, the above-mentioned owner/s of the land, consent to the making of this application.

             Signature of owner/s of the land


             Date


             Table H


             Name of owner/s 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 owner/s of the land


             4                                                                                                 IDAS form 1-Application details
                                                                                                                    Version 2.017 December 2012