Development application part 1 of 2 · OPW11/0371

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    Table C-premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
    dredging in Moreton Bay)

    Coordinates                                                            Zone          Datum              Local government
    (note: place each set of coordinates in a separate row)                reference                        area (if applicable)

    Easting          Northing          Latitude          Longitude



                                                                                         q     GDA94

                                                                                         q     WGS84

                                                                                               other




    5. Total area of the premises on which the development is proposed (indicate hectares or m2)




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



            4pJ St



    7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)




    8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


           No
    q
           Yes-complete either table D, table E or table F as applicable



Table D

Name of owner/s of the land                       kP.^^ `^^ P r-•-                      -     ^^^.^c^

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

Signature of owner/s of the land



Date




                                                                                                   .. .. :i- / -/DA5 tt
                                                                                               Ve,sion r.o r8 December