DOC190912 · OPW12/0365

 

C] material change of use of premises

CJ building work

operational work

CJ reconfiguring a lot

 

development permit

C] preliminary approval

C] both—provide details below

 

 

 

 

 

Ll Yes—complete table A and then go to question 5

 

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

 

 

 

 

 

 

water e.g. jetty, pontoon)

Table B—street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the

premises
Kat address/lot on the plan

CT street address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address Lot on plan description | Local government area
Unit | Street | Street name and official suburb/ | Post- Lot no. Plan type (e.g. Logan, Cairns)
no. no. locality name code and plan no.
92 | mith Steet
Little Gove - usbt |
Nacsa Hoods -
2 Application details—IDAS form 1

Version 1.0 18 December 2009