Application for permit to damage vegetation - OPW13/0669

                                                                                                                  each lot in a separate row.)
                                                  Table 0 and/or Table E as applicable. Identify
2.        Location of the premis~s (Complete

                                                                               and lot on plan for the land adjoining or
                                           for the premises or street address
Table D-Street address and lot on plan
                                this table is to be used for applications involving
                                                                                    taking or interfering with water).
adjacent to the premises (Note:
                            if there is insufficient space in this table.)
(Attach a separate schedule
                                                           must be listed.)
        0 Street address and lot on plan (All lots                                                       for
                                                                           to the premises (Appropriate
        0 Street address and lot on plan for the land adjoining or adjacent pontoon. All lots must be listed.)
                                                                     to land, e.g. jetty,
               development in water but adjoining or adjacent
                                                                              Lot on plan                         Local government area
Street address                                                                                                    (e.g. Logan, Cairns)
                                                                              description
                                                                   Post-      Lot no.       Plan type
Lot          Unit    Street     Street name and official
                                                                   code                     and plan no.
             no.      no.       suburb/locality name
                                  "
                                                                                                                       ._Cl~~(.&0--
i)
                       4-       tf~,,~~ A-5br                                                                     ,-    ~




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

 i)
 ii)
  iii)
                                                                                 over part of a lot or in
                                                                                                          water not
                                                for development in remote areas,
  Table E-Premises coordinates (Appropriate                                              schedule    if there is insufficient
                                     channel dredging in Moreton Bay.) (Attach separate
                                                                              a
  adjoining or adjacent to land e.g.
  space in this table.)
                                                                                 Zone           Datum                     Local government
  Coordinates                                                                    reference                                area (if   applicable)
                          coordinates in a separate row)
  (Note:place each set of
                     Northing         Latitude                 Longitude
     Easting
                                                                                                 0 GDA94
                                                                                                 0 WGS84
                                                                                                 0 other

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


            G::eOo~"                                                                    -
                                                                                            ~R          ~ ~crJ-<A.
                                                  ~~
                                                                                                   cane farm etc.)
                                                 vacant land, house, apartment building,
       4. Current use/s of the premises (e.g.


                                                               ~~
             ~                        ~




                                                                                                                       IDAS form 1             ,PP/ic t"J.1 d?fdds
                                                                                                                                               3.0.   1 July 20:3



                                                                                                                                         ---   ~
                                                                                                    -
                                                                                                            -~-    .   --~-~         -




                                                                                         ~--            =
                                                                                        ~
                                                     :....:=   =--~~-----=-=-~