Development Application Part 1 of 1 · OPW12/0318

    DDD
Table C-premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)                               .)
Coordinates
(note:place each set of coordinates in~    eparate row)
                                                                            Zone
                                                                            reference.
                                                                                         Datum             local government
                                                                                                           area   (if applicable)

Easting                            VLatitude           Longitude
              Northiny
              V                                                                          0 GDA94
                                                                                         0 WGS84           ,
                                                                                                                           ,.




       /                                                                                 0 other


5. Total area of the premises on which the development is proposed (indicate hectares or m2)




       6g4 f:’1 tnf            .




                                                                                                                          ~: ’-
6. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm,etc:)                                      ,

                                                                                                                         ~...     i"\< :;.




  VACfJ-ll/7 RGsI])&!JTU/f’1-v                     Jffll       1;JI TN 7ft          (_1J-(J;JIltJV&--v)

7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)                    "




       ~tf     I}n-/KJrll1 ti77/, fo~ f(~O/V _                                           -ro     f?&-/Yl OC/if

  /lVO({}-) !<fhJal f;N6:S, f/!L)/I1                                   u{5 (I~BUJ U( tJF-/Arr/l::>.

8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)



       No


o Yes-complete either table D,table E          or table F as   applicable                          ,
                                                                                                       ’




Table D


Name of ownerls of the land


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

Signature of ownerIs of the land



Date




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