Development Application IDAS Forms 1 & 6 - OPW12/0510

,:




                ODD
          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                                                                                                           Zone                  Datum               Local government
          (note:place each set of coordinates in a separate row)                                                                reference                                 area   (if applicable)

          Easting                         Northing                   Latitude                               Longitude


                                                                                                                                                      0 GDA94
                                                                                                                                                      0 WGS84
                                                                                                                                                      0 other

           :x           "’\’$’.’                Wf.          ’i,1<   ~
                                                                         ;
                                                                                  ,.
                                                                                       ::~
                                                                                                             F.f
                                                                                                                                       >

                                                                                                                                                v>:   :’_


          5. Total                 rea of the   premises on which the development is proposed (indicate hectares or m2)


      Nb                  SUR.6, ~~(N.\ 1,000.st’ tho LoN6r tJP\~OvJ ~t,ou.(. PEEPS ME $TD12eP

          6. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm, etc.)
                                                                                                                                                                                  I
                                                                                                                                                                                      1;., ~
                                                                             .


                                                                                                                            .:s’;>;;’




     I liD         I-l             h"Y l+OIASE


      7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)


          TO             R~MOV(; ONE "ThEE , ’vI1’\5 SILt..Y ~NOU~\1 To .pL.-ANT "
                                                                                 2Y~A~S ~fO,
     3.5M.&r.t.> f"(LOM t\<)lA$6,IN                                                                N"D1N"’"T0                   S~66.f.J                    L<> FI2.,OM          C:\~-\{OV\~/.$
     De(.,K.:I. ’’s NOW vffl.’I LAR.4f1 wELt..- Pr60Vr:;. tl\1 looF I\"N                                                                                       -nt6"IR..s,AFPl?C.1"S W#\1a.
     ,8. Is Qwner’s consent r~quired for this application? (refer to notes at the end of this form for more information)
     *~         ::,:w                           .
                                                      A.._                   -..b :reo </ ~/;~     \:):.,                       ",
                                                                                                                                           ,~
                                                                                                                   ;ill’,                                      -b    fh    ~t~




                        No         I Af’i)       rt~ OWN

          o Yes-complete either table D, table E                                             or table F as         applicable


      Table D


      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




                                      3                                                                                                                     Application details-IDAS form 1
                                                                                                                                                              Version 1.0 18 Oecember 2009