Development Application for permit to damage vegetation - OPW13/0333

Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)

       o Refer attached schedule            0Not required


2. Is the application for a mobile and temporary environmentally relevant activity (ERA)?


...Q/- N~ontinue to question 3
o         Yes-complete Table 0 and then go to question 6

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




3. Location of the premises (Complete Table E and/or Table F as applicable.                  Identify each lot in a separate row.)

Table E-street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises. (Note:this table is to be used for applications involving taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)

     Ja    Street address and lot on plan (All lots must be listed.)

      0    Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
           development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed)
Street address                                                              Lot on plan                  Local government area
                                                                            description                  (e.g. Logan, Cairns)
Lot       Unit     Street      Street name and official          Post-      Lot no.      Plan type
          no.      no.         suburb/locality name              code                    and plan no.


i)                 ~          ’1)J... "\-<:J._
                                     ~~          !AIl:y-,...,.....I?,b ~’3 4R’f> 1~~:r=f--7                u~’IIJ,...t        _

                                                                                                                        ~ ’A’:J\

ii)

iii)

Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory.)
Lot       Applicable zone / precinct                  Applicable local plan / precinct           Applicable overlay/s
i)

ii)

iii)




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                                                                                                         IDAS form 1-App/icallon details
                                                                                                           VersIOn 2.0 17 December 2012