Development Application for permit to damage vegetation - OPW13/0327

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    Table F-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 Say.) (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

                                                                                                       D   GDA94

                                                                                                       D   WGS84

                                                                                                       D   other


    4. Total a~ea of the premises on which the development is proposed (indicate square metres)
                                                                    M
                                                        ,




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




I House)                           Use.             Y       OWtJE s.

                                                                                                                    ..

    6.’ Afoe there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
                                                                                                                                                    Iii

                                                                                ’"

tlm      ndatory requireme(lt.)     ..
                                           ..,          "
                                                                ,
                                                                                                                                         11’




              No        D     Yes-provide details below

    List of approval reference/s                                          dd/mm/yy)
                                                            Date approved (                                    Date approval lapses (dd/mm/yy)




                                            lit     ~                           ~’"


    7. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)
                    -

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    D         No
                                                                                                      we. #<IE             ’7!I        OI/JNEteS.
    D         Yes-complete either Table G, Table H or Table I as applicable

    Table G

    Name of ownerls of the land


    I/We, the above-mentioned ownerls of the land, consent to the m aking of this application.

    Signature of owner/s of the land


    Date


    Table H

    Name of owner/s of the land


    D The owner’s written consent is attached or will be provided separately to the assessment manager


I
    Table I


    Name of ownerls of the land


    4                                                                                                               IDAS form 1-Application details
                                                                                                                         Version 2.017 December 2012