DOC190912 · OPW12/0365

HO

 

dredging in Moreton Bay)

Table C—premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel

 

 

Coordinates Zone Datum
(note: place each set of coordinates in a separate row) reference
Easting Northing Latitude Longitude

Local government
area (if applicable)

 

 

 

 

 

 

[] GdAg4
(] wese,
LC] other

 

 

 

 

 

 

 

 

 

Poeerbert\ -tree of rear of the

| 4reen +o be rerrcved os per tepert aotached -

 

 

Pood area -

 

C] 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

 

 

 

 

 

3 Application details—IDAS form 1
Version 1.0 18 December 2009