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Development application part 1 of 2 IDAS forms 1 & 6 · OPW13/0914

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                                                                                                                          Q~~3

        o Impact assessment             o Code assessment


 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)?


xO          No-continue to question 3


o           Yes-complete Table D 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 invoMng taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)

       0 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)                 fila        Leeside Place                 4566      357          RP856170          Sunshine Coast

ii)
iii)

Planning scheme details (Ifthe 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)




3                                                                                                     /DAS form 1-Applicafion details
                                                                                                        Version 2.0 17 December 2012

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