Development Application part 1 of 2 - Cover Letter & IDAS Forms MCU13/0078

        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

                                                                                            D   GDA94

                                                                                            D   WGS84

                                                                                            D   other



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



    639m2

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


I    RESIDENTIAL



     6. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
     mandatory requirement.)

        ~     No       D     Yes-provide details below

        List of approval reference/s                     Date approved (dd/mm/yy)               Date approval lapses (dd/mm/yy)




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


     D       No


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

    Table G

    Name of owner/s of the land                  Kathryn Hughes

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

    Signature of owner/s of the land
                                                   ~~~                .
                                                                          ...
                                                                                 ....--
                                                                                --
                                                                                          \~
    Date                                         06/05/2013


    Table H

    Name of owner/s of the land              I
    D The owner’s written consent is attached or will be provided separately to the assessment manager


I
    Table I

    Name of owner/s of the land



    4                                                                                                   IDAS form 1-Application details
                                                                                                         Version 2.0 17 December 2012