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Development Application IDAS Forms 1 & 6 - OPW12/0471

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         DDD

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


o material change of            use of   premises

o building work
~ operational work
o reconfiguring lot.   a



                                                                                                                                       ~
2. What type of     approval is being sought?


~        development permit              o preliminary approval         0 both-provide details below




3. Is the application for a mobi e and temporary environmentally              rel7evant activity (ERA)?

[1J No
o Yes-complete table A and then go to question 5      I,




Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




                                                                                                                                           ==9
                                                                                                 each lot in a separate row)
4. Location of the premises (completetable B and/or table C as applicable. Identify



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

       o 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.


          b3         W OOrJGfl.R.              c;;-~                               ~\’161g6
                                                                          ~
                                                                                                      .




                     ~O~E          ,1V      POII’\ll         ’+SbS                                             SIjf\lS4 INf, CD~<;T’

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                2                                                                                   Application details-IDAS form 1
                                                                                                      Version 1.0 18December 2009

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