3737idas-form-01

                   Integrated Development Application System form

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
                                                                                       GDA94
                                                                                       WGS84
                                                                                       other

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

300m²

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

Vacant



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

        No           Yes—provide details below

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



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

       No
       Yes—complete either Table G, Table H or Table I as applicable

Table G

Name of owner/s of the land

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

Signature of owner/s of the land


Date

Table H

Name of owner/s of the land            Noosa Shire Council

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

Table I

Name of owner/s of the land

4                                                                                              IDAS form 1—Application details
                                                                                                 Version 2.0 17 December 2012