Idas Form 1 · OPW15/0072

  
  
  
 

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Table D—Street address and lot on plan for the premises OF 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.)

mM Street add

oO 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. Ail lots must be listed.)

 
 
  

 
  
   
  

   
   
   

ress and fot on plan (All lots must be listed.)

    
      
 
 

  
  
  
  
   

   

    
    
       
 
  

  
   
  
 

Street address Lot on plan

description

Street name and official Post- Lot no. Plan type
suburb/ locality name code and plan no.
168 Noosa Parade, 4566 4
Noosaville Qld

Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zonels for each lot ina
separate row in the below table. Non-mandatory)

Local government area
(e.g. Logan, Caims)

   
 

Unit Street
no no.

     

  
   
 
 

   

    

    

     

  

   

Natural hazard: Landslide &
Flooding

Natural hazard: Bushfire & Acid
Sulfate Soils

 
 
   
   
 

 
   
 
      
  
  
  

   
      
     
  
   
   
   
 

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
(Note: place each set of coordinates in a separate row) reference

(1 spas
(1 wese4
(1 other

Vacant medical centre

Local government
area (if applicable)

   

 
 
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDAS form 4—-Application details
Version 4.1--4 July 204«

 

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