Development application part 1 of 2 MCU12 · MCU12/0012

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


z material change of use of premises

q       building work

q       operational work

q       reconfiguring a lot


2. What type of approval is being sought?


 2 development permit                       preliminary approval             both-provide details below




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


7I No

        Yes-complete table A and then go to question 5



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

       0 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.


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                                                                                              Application defdils-IDASform 1
                                                                                                Version r. o i8 December 2009