Development Application for permit to damage vegetation - OPW13/0519

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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


    4. Total area of the premises on which the development is proposed (indicate square metres)



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




I           DN\l So;.

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

    [YNo           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.)


           No


    D      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
    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