Development Application IDAS Forms 1 & 6 · OPW12/0360

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    D material change of                                    use of            premises

    D building work
    B operational work
    D reconfiguring lot                         a




    ~                 development permit                                      D                 preliminary approval                                                    D         both-provide details below




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    o No
    D 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




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

        premises

                 gstreet address/I~t                                on the              plan

                 D street address/lot                               on        plan for the land adjoining                                                    r    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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                                       2                                                                                                                                                                                                 Application details-IDAS form 1
                                                                                                                                                                                                                                               Version 1.0 18 December 2009