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Development Application part 1 of 1 Covering Letter, Owners Consent , IDAS Forms 1 & 5 - MCU13/0081

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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

                                                                                          D    WGS84

                                                                                          D    other


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

        97m2

        5. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm
                                                                                                       etc.)


    I   Conference Room



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

        [KJ    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.)

        D      No


        [KJ    Yes-complete either Table G, Table H or Table I as applicable

        Table G

        Name of owner/s of the land


        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              Netanya Management Pty Ltd

        IKJ 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 2.0 17December 2012
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