DNA 102 - Chnage develoment approval [As Published]

(INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

Development Counter

y ADEC 2008

Common details 4
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11.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identity the premises}
Table A if the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.
SASSI SHS Nene of C46 oes Governments ‘area. te inobile'and:temporaiyiEl ig

 

          

 

 

 

 

 

A.
v N ,
OR

TableB Street address for the premises (“applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
() (1 Street address / lot on plan for the premises (Appropriate for most applications including building applications); Of

(i) (J Street address /tot on plan for the land adjoining or adjacent to the premises (Appropriate tor development in water 0.9. jetty, pontoon
etc) (Note: Lot on plan detais may be obtained from title documents, @ ‘Rate’ notice, or from the focal government, )

TCE ee cme

 

    

 

 

 

Lb | -remrerns > cookoy LEB 67 | menquS Somentiwe Coen

 

 

 

 

 

 

 

AND/OR
Table C Coordinates andlor a map of the premises (Aperopriate for development in remote areas, over part of a fol, in water g. channel dradging in Moreton Bay) etc.)
- 3 ie 7; Ci

Local goverment ar are’
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1. OC cpass (1) wese4

CO Other

 

 

 

 

 

 

 

 

 

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