Development application part 1 of 2 · OPW11/0371

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1. What is the nature of development proposed? (tick all applicable box/es)


        material change of use of premises

        building work

Imo     operational work

        reconfiguring a lot


2. What type of approval is being sought?

          development permit           q     preliminary approval             both-provide details below
 q                                                                    q




3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?


        No

        Yes-complete table A and then go to question 5
q


Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)


Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

       ® street address/lot on the plan

       q street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
             water e.g. jetty, pontoon)

Street address                                                      Lot on plan description            Local government area
                                                                                                       (e.g. Logan, Cairns)
Unit      Street       Street name and official suburb/   Post-     Lot no.     Plan type
no.       no.          locality name                      code                  and plan no.

             17S

                          N'Z-C' Sm-      dos




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                                                                                                     Version i.o 18 December 20og