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Development Application Part 1 of 1 · OPW12/0385

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            DDD

1.     What is the nature of development proposed? (tick all applicable box/es)



D         material change of use of premises


D         building work

IiLr operational work
D reconfiguring lot       a




2. What type of        approval is being sought?


D          development permit              ~flrelifRiAaryapproval         D       both-provide details below


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



~NO
D Yes-complete table A and then go to question 5

Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




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

              treet address/lot on the plan


        D street address/lot         on   plan for the land adjoining or adjacent to the premises (appropriate for development in
             water e.g. jetty, pontoon)


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


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                       ~        4Sb’1-                                  .




                   2                                                                            Application details-IDAS form 1
                                                                                                   Version 1.0 18December 2009

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