Development Application - Part 1 of 1 · OPW12/0258

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1. What is the’ nature,of
             ;If!       .    >
                                         d’~Yelopment proposed? (tick all applicable box/es)
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o material change of                     use of     premises

o building work
        operational work
o reconfiguring                  a lot




~2. What type
                    of. approval is being sought?                  II




 52( development permit                              o preliminary approval         0 both-provide details below




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


@       No


o 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

       o 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 pla’n description-           Local government area       -   -        --




Unit      Street            Street name and official suburb/
                                                                                                                      (e.g. Logan, Cairns)
                                                                        Post-     Lot no.     Plan type
 no.         no.            locality name                               code                  and plan no.
                                                                                                                                      "-


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