Application for permit to damage vegetation - OPW13/0659

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Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)

        o Refer attached schedule          0Not required


2. Location of the premises (Complete Table E and/or Table F as applicable.               Identify each lot in a separate row.)

Table E-Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises. (Note:this table is to be used for applications involving taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)
       0 Street address and lot on plan (All lots must be listed.)
       0 Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
             development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed)
Street address                                                            Lot on plan                    Local government area
                                                                          description                    (e.g. Logan, Cairns)

Lot        Unit        Street     Street name and official        Post-   Lot no.     Plan type
            no.         no.       suburb/locality name            code                and plan no.


i)                      ~I        SAl.-TwA ee.               t.

ii)                                ~~\J lLLG::
iii)
Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory.)
Lot        Applicable zone/precinct                  Applicable local plan/precinct           Applicable overlay/s

i)

ii)
iii)

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

                                                                                          0 GDA94
                                                                                          0 WGS84
                                                                                          0 other

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


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




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                  3                                                                         Application details-IDAS form 1
                                                                                                     Version 2.031 March 2013