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Operational Works Applicaiton, DA Form 1 - OPW21/0249
Department of Infrastructure, Local Government and Plannii PART 2 — LOCATION DETAILS 3) Location of the premises (complete 3.1) or 3.2), and 3.3) as applicable) Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms Guide: Relevant plans. 3.1) Street address and lot on plan CJ Street address AND lot on plan (ail lots must be listed), OF CJ Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water but adjoining or adjacent to land e.g. jetty, pontoon; all lots must be listed). Unit No. | Street No. Street Name and Type Suburb a) él oRiWLe AVE PERG GAN Ber. Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s) EN72 RY P92/21 Unit No. | Street No. Street Name and Type Suburb b ) Postcode | Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s) oord ates of pre e appro ate for aevelopme emote area over part Of a IOt O. ate ot aaqjo g or aajace (oN fe] He | CJ Coordinates of premises by longitude and latitude Longitude(s) Latitude(s) __| Datum Local Government Area(s) (if applicable) Cwesea LJ GDA94 CJ Other: CJ Coordinates of premises by easting and northing Easting(s) Northing(s) Zone Ref. | Datum Local Government Area(s) (if applicable) ; Os4 Clwese4 | (155 C Gpas4 | | 56 C Other: 3.3) Additional premises CL] Additional premises are relevant to this development application and their details have been attached in a schedule to this application Not required 4) Identify any of the following that apply to the premises and provide any relevant details CJ In or adjacent to a water body or watercourse or in or above an aquifer Name of water body, watercourse or aquifer: | CJ On strategic port land under the Transport Infrastructure Act 1994 Lot on plan description of strategic port land: Name of port authority for the lot: (J In a tidal area Name of local government for the tidal area (if applicable): Name of port authority for tidal area (if applicable): LJ On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 Name of airport: | (] Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994 EMR site identification: | Page 2 DA Form 1 — Development Application details Version 1.0—3 July 2017
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