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Development Application IDAS Forms 1 & 6 - OPW12/0305

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         ODD

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


D      material change of use of premises




g      building work

       operational work

D      reconfiguring a lot


                                                                              "

2. What type of       approval is being sought?

         development permit           D      preliminary approval     D       both-provide details below




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


       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




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

            street address/lot on the plan

       D 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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                      J)R._t V s-                                                 If c’o8\7
                      t0      S~      f+c~bS.




                  2                                                                           Application detai/s-/DAS form 1
                                                                                                 Version 1.0 18 December 2009

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