Development Application part 1 of 2 - Idas Forms 1 & 5 247-251 Gympie Tce Noosaville · MCU10/2022

OOD

 

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

 

 

 

[_] spAg4
[| wessq.
[] _ other

 

 

 

 

 

 

 

which the development is proposed (indicate hectares or m2)

at

 
   

Coordinates Zone Datum , Local government
(note: place each set of coordinates in a separate row) reference area (if appticable)
Easting Northing Latitude Longitude

 

 

 

 

 

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

Real Estete Agency ,

 

%, Provide a brief description of the proposal (e.g. six unit apartment building, 30 tot residentiat subdivision etc.)

fad. Eade pre .

8. 1s owner's consent required for this application? (refer to notes at the end of this form for more information)

xn

[A Ves—complete either table D, table E or table Fas 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

 

 

 

 

: ‘ Anpltealinn dete Ts 1DAS form 1
Version 1-0 78 December 2009

 

 

 

Date : .