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Development Application IDAS Forms 1 & 6 - OPW12/0451

of 10

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ODD.
e-mail address (non-mandatory)




1. What is the nature of development proposed? (tick all applicable boxes)



o material change of use of premises
o building work
I:8J operational work
o reconfiguring a lot

2. What type of approval is being sought?



I:8J development permit
o preliminary approval
o both provide details below
                -




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



I:8J   No

DYes complete table A and then go to question 5
                -




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

                                                                                  Lot n plan
                    Street Address
                                                                                  description
                                                                                                         Local government area
                    Unit   Street       Street name and official       Post             "Plan type       ...,
                                                                                                                ’fe.g. Logan,Cairns)
                                                                              Lot No.
                     No.    No.          suburb/locality name          code             and plan no.


            1       12     161      Gympie terrace                 4567                                 noosa



I:8J Street address / lot on plan
 Strret address / lot. on plan for the land adjoining or adjacent to the premises (appropriate for development in
owater
            e.g. jetty, pontoon)
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 (note: place each set of
                    coordinates in a separate row)                        Zone                                    Local government
                                                                                            Datum
                                                                        reference                                 area   (If applicable)
                      Easting       Northing   Latitude    Longitude

                                                                                        o GDA94
                                                                                        DWGS84
            1
                                                                                        o other




                                                                                                     Application Details    -
                                                                                                                                IDAS form 1
                                                                                                       Version 1.0 18 December 2009

Used in these records

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