Development Application part 1 of 2 IDAS Forms

25/09 2013 15:08 F~~ 0754852274                                                       FRALEY                                                                                                        f4I 005




        Table C-Addltlonal aS ects of the application (If there
                                                                                                        are additional aspects to the application
                                                                                                                                                                            please list In a
        separat~ table on an extra page and attach to this form.)

              o Refer attached schedule I2rNot required


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                    .


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        ~ No-contlnue to question 3
        o           Yes-complete Table 0and then go to question 6

        Table D-name of 8ach local
                                                        government area In which the mobile and temporary ERA Is proposed to
                                                                                                                                                                                      operate




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      Tabl E-street address and lot 01’1 plan for the
                                                        premises or street address and lot on plan for the land adjoining or
      adjacent to the premises. (Note:this tabl~ Is to be used for appllcaflons
                                                                                 involving taking or interfering with water).
      (Atlach a separate schedule if there Is insufficient space In this
                                                                         table.)
                     Shet address and lot on plan (All lots must be
             ~       Street address and lot on plan for the land
                                                                                                          listed.)
                                                                                             adjoinIng or adjacent to the premises (Appropriate (or
                     development In water but adjoining or adjacent to land, e.g.jetty, pontoon. All lots must be
                                                                                                                                                                                listed)
      Street address                                                                                                      Lot on plan                                  L<lcal government area
                                                                                                                         description                                  (e.g. Logan, Cairns)
      Lot         Unit            Street            Street name I’Ind official                       Post.               Lot no.               Plan type
                   no.            no.              :suburb/locality name                         code                                          and plan no.

      I)                 L                      /E~~ ’/VIL~..J S-r                               ~b&                           ..G           ItP u.. 6,.1             -S ’,,-,.sMI~ Coru7
                        ./
      ji)            ;             /                  ’f0""-ON’’’’’’                i/                V
                                                                                                                              t{t            1t2.P.~,          ~      :s LJ/II~~ l~ Cnil <"~
      i i)       I            V                                                      V"               V’"
                                                                                                                                   4-         (l.P ’:{ S-~{          oS VN.<:w. /AlE;-        C.       "\T
      Planning soheme details (If the premIses involvas multiple zones,
                                                                                                                                 clearly Identify tha relevant zone/s for each lot In a
      separate row In the below table. Non-mandatory.)
     Lot         Applicable :toneI precinct                                    Applicable local plan /preclnot                                             Applicable overlay/s
     i)
     11)
     III)




    3
                                                                                                                                                                    IVAS form 1-ApplfclIli01l C1~18i1S
                                                                                                                                                                     VersiOJl 2.0 f 7 December 2012