OPW11/0043 Development Application part 1 of 2 "Covering Letter\\nIDAS Form 1\\nIDAS Form 28\\nLetter from Department of Transport & Main Roads "29 Wyuna Dr NOOSAVILLE

Table C-premises coordinates (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


                                                                                          GDA94

                                                                                          WGS84

                                                                                          other




5. Total area of the premises on which the development is proposed (indicate hectares or m=)




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




   U Gi Col4l         [Of
7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)




   Is owner's consent required for this application? (refer to notes at the end of this form for more information)



q No
       Yes-complete either table D, table E or table F as applicable



Table D

Name of owner/s of the land                      re             aV<^ ^,hVI         ^(J

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

Signature of owner/s of the land



Date                                                      j L          (p




                                                                                         Application details-/DAS form i
                                                                                          Version t. o i8 December 2009