Request To Change An Existing Approval Template - Queensland Government Page 3
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5Integrated Development Application System form
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. Details of the proposed change
6. Is owner’s consent required for this request? (refer to notes at the end of this form for more information)
No
Yes—complete either table D or table E as applicable
Table D
Name of owner of the land
I, the above-mentioned owner of the land, consent to the making of this request.
Signature of owner of the land
Date
Table E
Name of owner of the land
The owner’s written consent is attached
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Request to change an existing approval template
Version 1.1 March 2010
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