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Development Application Part 1 of 2 - IDAS Forms 1 and 6 - OPW13/0308

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                                                                                                      of a lot or in water not
             Table F-premises coordinates (Appropriate for development in remote areas, over part
                                                                 in Moreton Bay.) (Attach a separate schedule   if there is insufficient
             adjoining or adjacent to land e.g. channel dredging
             space in this table.)
                                                                                                                                                                                            Zone                               Datum                                        Local government
                 Coordinates
I
                                                                                                                                                                                            reference                                                                       area          (if applicable)
                 (Note: place ~ach set of ~o()r~inates in a, separate row.)
                                                      I Northing.                                          Latitude                                 Longitude
     I           Easti!.l9                                                                                                                                                          -
                                                                                                                                                                                                                                                             -_.
                                                                                                                                                                                                                                                                    L                                  ..




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             ~4’;’ ’fotal area of tfie pr8Q1is8s,"On wtllch.the~d Yelopmentis proposed (IndICate square metres).
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         i"6~ Are’therea yc                                                     r    nt            rval$:(8.g.a prinminary a~p~oVI)’as; iited with this, ppli~ion?7(N ~
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                 [8]             No                          o                  Yes-provide details below

                                                                                                                                            J
                                                                                                                                                                                                                                           Date approval lapses (dd/mm/yy)
         I
                 List of approval reference/s                                                                                                       Da~e approved (dd/mm/yy)

                                                                                                                                                                                                                                                                            -

                                                                                                                                                                                                                                                               .-




      -1.~~P\y.~~~i!1},~~ii;applip~tlon?.~Refer fa ~ofes ~tt),e1i                                                                                                                                                                       ott~!~f rmJQ~~riin!9f"!T1_~ .:,              -
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                 OJ           No


                 IZI          Yes-complete either Table G, Table H or Table I as applicable
                              -




                 Table G

      ,


                 Name of owner!s of the land                                                                              Paul Gerard McDonald

                                                                consent to the making                                                                                                                     of this application,
                 I/We, the above-mentioned ownerls of the landy
                                                              ;



                 Signature_of Qwner                                                 f~laDg                                     IJu__                                                            ,

                                                                                                                                                                                                                                                                                                             -




                                                                                                                                                                                -
                         -   ---




                 Date                                                                                                           1~’lf-ll3
             I   Table H

                 Name of ownerls of the land


                 D The owner’s written consent is attached or will be provided separately to the assessment manager
                                                                                                                                                                                                                                                                                                             -




             fTab,e
              ~ame
                                      I

                                      of ownerls of the land:                                                         1
                                                                                                                                                                                                                                                              IDAS form 1-Appfication details
                 4
                                                                                                                                                                                                                                                                   Version 2.0 17 December 2012

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