Application for permit to damage vegetation - 291 Gympie Terrace Nossaville

 

 

 

 

 

 

 

 

 

Table C—premises coordinates (appropriate for development i
dredging in Moreton Bay)

in remote areas, over part of a lot or in water e

.g.ichannel

 

Coordinates

Zone Datum
(note: place each set of coordinates in a separate row)

reference

 

Easting Northing Latitude Longitude

Local government
atea (if applicable)

 

 

[ ] epAd4
[| wese,
C] other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ranowk TO ue RELS ANE 7050 HBS OF Tel

 

Cy TAEES TO KRBPLACE 7HE. Beun&ALY FENCE. A

Ys NO PROPERTY
Hae Rean RECN ES Frou THR, Aeron T PROOEL TY ba

 

   

a Yes—complete either table D, table E or table F as applicable

 

Table D

 

Name of owner/s of the land

 

1/We, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land

 

Date

 

 

 

Keg

Application detail
Version 1.0 18 Di

s—/DAS fo
lecember 2

wm 4
009