Development Application part 1 of 2 IDAS forms 1 & 5 - MCU13/0151

       Table C-Additional aspects of the application (If there are additional aspects to the application please list in a
       separate table on an extra page and attach to this form.)

               o Refer attached schedule          0Not required


       2. Location of the premises (Complete Table E and/or Table F as applicable. Identify each lot in a separate row.)


       Table E-Street address and lot on plan for the premises or 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.)

              0 Street address and lot on plan (All lots must be listed.)
              0 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. All lots must be listed)
       Street address                                                             Lot on plan                   Local government area
                                                                                  description                   (e.g. Logan, Cairns)

       Lot        Unit        Street     Street name and official      Post-      Lot no.    Plan type
                   no.         no.       suburb/locality name          code                  and plan no.


       i)         2(;:,       ~JZ        PAYI D    lJW    W                        Zh        f,f’1I172./       ~?Rc"
       ii)
       iii)
      Planning scheme cletails (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
      separate row in the below table. Non-mandatory.)
       Lot        Applicable zone/precinct                  Applicable local plan/precinct           Applicable overlay/s

      i)

      ii)

      iii)

       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

                                                                                                 0 GDA94
                                                                                                 0 WGS84
                                                                                                 0 other

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




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



              VAt-ANT                  LAND




                         3                                                                         Application details-IDAS form 1
                                                                                                            Version 2.0 31 March 2013



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