Development Application part 1 Cover Letter - IDAS form 1 - Owners consent -IDAS form 5 MCU13/0051

    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)


    21 ha

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


    Cattle and horse grazing, residential dwelling



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

        ~     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


    ~        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
                                             I Shane Coutts
    ~ The owner’s written consent is attached or will be provided separately to the assessment manager

    Table I

I   Name of owner/s of the land




    4                                                                                                 IDAS form 1-Application details
                                                                                                       Version 2.0 17 December 2012