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Application for permit to damage vegetation - OPW13/1024

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


Table D-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)                                l~                  1~f<~fA-Mt                                                                                                                                   c!)()~             .




ii)                                                   N90~*- .f.k--f\~ S ~1
                                                                                                                        I

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 E-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.)

Coordinat~s                                                                                                                             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)




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




                                                                                                                                                                                            IOAS form 1.Appflc,lIion delill!s
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