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10/0632 - Prescribed Tidal Works - Pontoon - Gympie Tc [As Published] · 142010.632

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dredging in Moreton Bay)

iTable C—premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel

 

 

 

 

 

 

Coordinates Zone Datum Local government
(note: place each set of coordinates in a separate row) reference area (if applicable)
Easting Northing Latitude Longitude
SIG 22h L_] space
Els} o3-+ [] wese,

| other

 

 

 

 

 

 

 

 

 

 

     

Fiat HR TAN emer cam eh 3
he.premise apartment*building?
tees oe ee eid a ip

    

 

 

 

 

 

 

 

ef PoATOON AT F

PROUIS con

ND OF Ex. ST Hw

 

 

re,information) Bite

 

 

 

 

me Yes—complete either table D, table E or table F as applicable

 

APrRouAW Oy DERM Sea
AtTTKCHED

 

Table D

 

Name of owner/s of the land

 

1/We, the above-mentioned owner/s of the land, consent to the ma

king of this application.

 

Signature of owner/s of the land

‘

 

 

Date

 

 

 

Application details—IDAS form 1
Version 1.0 18 December 2009

 
 
 
  

 

 

 

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