Development Application IDAS Forms 1 & 6 Vegetation Removal · OPW12/0233

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 D material change of                    use of    premises

 D building work
 jL}/operational work
 D reconfiguring lot            a



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  0’ development permit                             D         preliminary approval                   D         both-provide details below




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 o Yes-complete table A and then go to question 5

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




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 Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
 premises

        [\JAfreetaddress/lot                  on the     plan
         o street address/lot                 on   plan for the land adjoining or adjacent to the premises (appropriate for development in
                water e.g. jetty, pontoon)


 Street address                                                                                    lot on plan description                      local government area
                                                                                                                                                (e.g. Logan, Cairns)
 Unit         Street        Street name and official suburb/                       Post-           Lot no.           Plan type
  no.          no.          locality name                                           code                             and plan no.



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                      2                                                                                                                 Application detaifs-IDAS form 1
                                                                                                                                            Version 1.0 18December 2009