Development Application Part 1 of 2 - Cover Letter - IDAS Forms 1 and 6 - OPW13/0022

        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)




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




    I   Rural Residential




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

        D      No      k8J   Yes-provide details below

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

        Reconfiguring of a Lot (Ref. 152008.750.1)       29 December 2011                       1-&   /n-l_l?>
        7. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


        k8J    No


        D      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


        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