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

    DDD
Table (-premisescoordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)

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

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  3I’Y)Q._                               OIVE T~EE


.~; ~r~~JAs~/~Af.~h~.pr~~I~E!~.(e.g~ v t:#hi.,~M;.’~ouse,                                                    h~~~tI>’~@ing,c~n~ farm;e~~.:)’.’ ......

   HOOSE

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:.;. pr vide’ brief destiiptl n of th p ~op s l (e:i:’six unit p’aiim ~tbu dirig;’30 ot resid ntlal subdivision ~tc.) ’~.
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~No
o Yes-complete either table D. table E                                     or table F as         applicable



Table 0

Name of ownerls of the land


I/We. the above.mentioned ownerls of the land, consent to the making of this application.

Signature of owner/s of the land



Date




                   3                                                                                                                         Application details-IDAS form 1
                                                                                                                                                  Version 1.0 18December 2009