Operational Works Application OPW17/0039

                                                                                Department of Infrastructure, Local Government and Planning


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

Table D-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.)

       Q/ Street address and lot on plan (All lots must be listed.)
       o      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 description         Local government         area
                                                                                                                  (e.g. Logan, Cairns)
Lot         Unit       Street    Street name and official suburbl       Post-     Lot no.     Plan type
             no.        no.      locality name                          code                  and plan no.

i)

ii)

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

i)

ii)

iii)

Table E-Premises      coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)

Coordinates                                                                       Zone           Datum              Local government
(Note: place each set of coordinates in a separate row)                           reference                         area (if applicable)

Easting               Northing           Latitude           Longitude

                                                                                                  0 GDA94
                                                                                                  0 WGS84
                                                                                                  0 other
3. Total area of land on which the development                 is proposed      (indicate square metres)




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



             He It: L..




                                                                                                              IDAS form 1-Application delails
                                                                                                               Version 4.3-5 December 2016