Development Application part 1 covering letter, IDAS application forms REC13/0015

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                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

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            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.)


            House




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

                I:8J   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


                I:8J   Yes-complete either Table G, Table H or Table I as applicable

            Table G

            Name of owner/s of the land                  Valkev Pty Ltd ACN 160921 059


            I/We, the above-mentioned owner/s of the land, consent to the making of this application.

            Signature of owner/s of the land
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            Date


            Table H

            Name of owner/s of the land              I
            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