Application for Permit to Damage Vegetation - OPW13/0927

                                                                                                                                                                                                                               -"...                    ’
                                                                                                                                                                                                  ..   ...




                 -.   ,-
                           ’~"...~"   ’I
                                                                                     ~.::.~,_~!"~.:~’~~’...;.~’;-.;.’-:-.’~ ...~. ..?:""rr..
                                                                                                                                               :~;.,
                                                                                                                                                       ~.:’’’’:’ .~.
                                                                                                                                                                       ._   .._. _
                                                                                                                                                                                     ...:’W~_~.              "-.’-". ~~~’~’,           :.2’:;=.   ~’:

                                                                     h:    _    ’_




                                                                                                                                                   ts to the application please list in a
    Table C-Additional aspects of the application (If there are
    separate table on an extra page and attach                                 t~-...terTTr.)
             o Refer attached schedule                           Not required




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

                                                                                    and lot on plan for the land adjoining or
    Table E-Street address and lot on plan for the premises or street address
                                      this table is to be used for applications involving taking or interfering with water).
    adjacent to the premises. (Note:
    (Attacha           schedule
                      separate   if there is insufficient space in this table.)

            [
            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
                                                                                                                                                                            All lots must be listed)
                      development in water but adjoining or adjacent to land, e.g. jetty, pontoon.
                                                                                                                        Lot on plan                                                         Local government area
    Street address
                                                                                                                        description                                                         (e.g.Logan, Cairns)

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




... i)            2-                       \’<l    ~Q~~                                            ,+g:;:j            .




    ii)
     iii)
                                                                                        the relevant zone/s for each lot in a
     Planning scheme details (If the premises involves multiple zones, clearly identify
     separate row in the below  table. Non-mandatory.)

     Lot    Applicable zone/precinct              Applicable 10....,,1 -ect              Applicable overlay/s
                                                                                .---
     i)                                                         ---

     ii)                                          ~
     iii}                   ~
                                                                                                                                                                                        of a lot or in water not
     Table F-Premises coordinates (Appropriate for development in remote areas, over part
                                                                                                                                                                                                  if there is insufficient
     adjoining or adjacent to land e.g. channel dredging in Moreton Bay.)(Attach a
     space in this table.)
                                                                                                                                                              separa/le
     Coordinates                                                                                                            Zone                            Lafium                                     local government

     (Note:place each set of coordinates in a separate row.)
      Easting                     Northing              Latitude                         Longitude                   ./
                                                                                                                          ~                                                                            area (if applicable)




                                                                                                                                                                 0 GDA94
                                                                                       V                                                                         0 WGS84
                                                                   /                                                                                             0 other
                                                              .-



      3. Total area of the                     premise~which the development is proposed (indicate square metres)
                                             /
                                                                                                                                                                   cane farm                  etc.}
      4. Current use/s ofthe premlses~.g. vacant land, house, apartment building,
                                                         /         .........




.\::\e~~lii
.                                                 /~N l-rys    ---




                              3                                                                                                                                        Application details-IOAS form 1
                                                                                                                                                                                      Version 2.0 31’ March 2013