Development Application Removal of Vegetation - OPW13/0111

        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 Bay.) (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 area of the premises on which the development is proposed (indicate square metres)


                  23z_6fJ1~
    5. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm etc.)



                        !-t U5C


16.       Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
    mandatory requirement.)

    g         No      o      Yes-provide details below

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




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


        o No
    g Yes-complete           either Table G, Table H or Table I as applicable


    Table G

    Name of ownerls of the land                     12. I)(JIJ.)   e(..   Aulli.A        ’1-!I.A!)A..
    I/We, the above-mentioned ownerls of the land, consent to the making of this application.

    Signature of ownerls of the land
                                                   f}__c!~(                  5"
                                                                              ~_to.r
    Date
                                                    e-2.-/~
    Table H

    Name of ownerls 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