Development Application for permit to damage vegetation - OPW13/0122

    Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
    separate ,table on an extra page and attach to this form.)

            ~Refer attached schedule         D Not required


                application for a mobile and tempC;rary environmentally relevant activity (ERA)?
                                                                                                                                                       !~
                                                                                                                                                  ’"        ~

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                No-continue to question 3


    D           Yes-complete Table D and then go to question 6

    Table D-name of each local government area in which the mobile and temporary ERA is proposed to operate




,


    3. Location of the premises (Complete Table E and/or Table F as applicable.               Identify each lot in a separate row.)

    Table E-street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
    adjacent to the premises. (Note:this table is to be used for applications involving taking or interfering with water).
    (Attach)i"separate schedule ifthere is insufficient space in this table.)
           Q’ Street address and lot on plan (All lots must be listed.)
           0 Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
                 development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed)
                                                                             Lot on plan <S P             Local government area
                                              ~t4f.l’
    Stre~address  SER.erJ (’r.j CLO~~ ,loeSA-         description \~~.l..b \                              (e.g. Logan, Cairns)

                                                                                                          Su~h;Ie_ LoctSt-
    Lot        Unit    Street       Street name and official      Post-      Lot no.      Plan type
                no.     no.         suburb/ locality name         code                    and plan no.
                                                                                                                 .\-t.t LeU V\~\.’\
                                                                                                                      --..J
    i)

    ii)
    iii)

    Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
    separate row in the below table. Non-mandatory.)
    Lot        Applicable zone / precinct              Applicable local plan / precinct           Applicable overlay/s

    i)
    ii)

    iii)




    3                                                                                                     IDAS form 1-Application details
                                                                                                            Version 2.017 December 2012