Development Application part 1 of 2 - Application forms MCU12/0066

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     ODD

     Ipart       21   -
                          Conservation estate


     !21".1 st’h-epr~posed use on a lot situated in, or within 100 metres of, any ofit;;foi;;ing?
     i     ___
                                                                                                                             ._~~
     a    protected area, forest reserve, critical habitat or area of major interest under the
     Nature Conservation Act 1992                                                                 ~No       DYes
     a state forest or timber reserve under the    Forestry Act 1959                              ~No       DYes
     a marine     park under the Marine Parks Act 2004                                            ~No       DYes
     a recreation area under the Recreation Area       Management Act 2006                        ~No       DYes
     a world heritage area listed under the World Heritage Convention
                                                                                                  ~No       DYes
     Brisbane forest park under the Brisbane Forest Park Act 1977                                 ~No       DYes

                 If you answered yes to any of the above, then this application needs to be referred to the Department of
                 Environment and Resource Management as advice agency.


     Section reference:
     Sustainable Planning Regulation 2009, schedule 2, table 2, item 45


     Privacy --please refer to the assessment manager for further details on the use of information recorded in
     this checklist.


     Disclaimer:

     While the Department of Infrastructure and Planning (DIP)believes that the information contained on this checklist and
     provided as part of this process will be of assistance to you, it is provided on the basis that you will not rely on the
     information without first making your own enquiries regarding the interpretation and application of the applicable
     legislation to your circumstances.
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     To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence)
     for errors or omissions of any kind or for any loss (including direct and indirect losses), damage or other
                                                                                                                       consequence
     which may arise from your reliance on this process and the information contained on this form.



     OFFICE USE ONLY



         Date received                                          Reference numbers



     The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning.




                                                                                                 Material Change of Use -IDAS checklist 2
                                                                                                           Version 1.018 December 2009