4325IDAS Form1

2.     Location of the premises (Complete Table D 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.)
           Street address and lot on plan (All lots must be listed.)
           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 description         Local government area
                                                                                                           (e.g. Logan, Cairns)
Lot       Unit    Street    Street name and official suburb/     Post-     Lot no.    Plan type
          no.     no.       locality name                        code                 and plan no.

i)                23        Tewantin Road, Cooroy                4563      102        C5604                Noosa
ii)
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.)
Coordinates                                                                Zone          Datum               Local government
(Note: place each set of coordinates in a separate row)                    reference                         area (if applicable)
Easting          Northing              Latitude        Longitude
                                                                                                GDA94
                                                                                                WGS84
                                                                                                other

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

1012m²

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

House




                                                                                                        IDAS form 1—Application details
                                                                                                         Version 4.3—5 December 2016