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Development Application IDAS Forms 1 & 6 for Permit to Damage Vegetation - OPW12/0562

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                                                                                                                                              -l




DDD
e-mail address (non-mandatory)




1. What is the nature of development proposed? (tick all applicable boxes)



o material change of use of premises
o building work
1:8] operational work
o reconfiguring a lot

12. What type of approval is being sought?
1:8] development permit
o preliminary approval
o both provide details below
                 -




3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?



1:8]    No

DYes complete table A and then go to question 5
                 -




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)


Table B      -   street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                                   Lot on plan
                     Street Address
                                                                                   description
                                                                                                          Local government area
                     Unit   Street       Street name and official       Post              Plan type          (e.g. Logan,Cairns)
                                                                               Lot No.
                      No.    No.          suburb/locality name          code             and plan no.


             1              17       laguna st                      4567                                 Boreen


1:8] Street address flot on plan
       Street address flot on plan for the land adjoining or adjacent to the premises (appropriate for development in
owater
             e.g. jetty, pontoon)
Table C      -
                 premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)


                     Coordinates (note: place each set of
                     coordinates in a separate row)                        Zone                               .
                                                                                                                  Local government
                                                                                             Datum
                                                                         reference                                area   (If applicable)
                       Easting       Northing    Latitude   Longitude

                                                                                         o GDA94
                                                                                         DWGS84
             1
                                                                                         o other




                                                                                                      Application Details   -
                                                                                                                                IDAS form 1
                                                                                                        Version 1.018 December 2009
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