Development Application part 2 of 10 IDAS Forms & Owners Consent - MCU13/0092

    Table F-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

                                                                                      D    GDA94

                                                                                      D    WGS84

                                                                                      D    other


    4. Total area of the premises on which the development is proposed (indicate square metres)


                                               b’506 ""v’y
    5. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)



             Ab~OV\..C-&            ~"’" ~,<;. Cluh


    6. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-

    mandjitory requirement.)
    ~        No   D      Yes-provide details below

    List of approval reference/s                     Date approved (dd/mm/yy)              Date approval lapses (dd/mm/yy)




    7. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


    D        ’0

    ~es-comPlete          either Table G, Table H or Table I as applicable


    Table G

    Name of ownerls of the land


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

    Signature of ownerls of the land


    Date


    Table H


    Namlof ownerls of the land
    [Y(The owner’s written consent is attached   or will be   provided separately to the assessment manager

    Table I

I   Name of ownerls of the land


    4                                                                                              IDAS form 1-Application details
                                                                                                    Version 2.017 December 2012