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0015367E.001
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INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006
Pe Form 1 Development Application idas 7
fo) a
- ” The completion of all applicable questions on Part A is mandatory fof all applications. Part A must be accompaniéd by thé completed IDAS Assessment Checklist if.
- required, and by oné (1) or thore other completed parts of the Form as required. For more information on the parts of the Form. refer to www.ipa.qid.gov.au. 1°
._Any information requested in.the form may be provided in.an attachment to the application. For further information about completing the following details, refer to Guide't.
‘Description of land "1. Street address: fnctudinghouse number, street name, suburtylocalty name & postcode) (if applicable) <3. -
:Identfigd. However, a description the lad Is not <- | “2 14 Stevens Street, Sunshine Beach
“Enwronenlly Relevattaciay (ERA). (|. Name of water body. or watercoufse, within which the developmignt is proposed: (fappicabl
‘Aicfoccombleina a? a2eoiesi.s © | LNA
~ development is proposed within a water body or BR Pe m 3 re ses te aa oe yr a0 Hum: cesd ° UERy wae
@ cwatecouse, ak | oe |S. Lotion plan description (eg:Lot 123 on RP 4567)/'GPS Coordinates?” ay.
* Advice forcortptetitb G3-Moctiandedhte |. Me youn: eee eee
“identified by a lot on plan description. These details. | ~~. | Lot693 RP 48111
£ can bé obtained from.tille documents of throughithe © [0S QPF ne wees : , aa — ar Tiaiep =
_bedgnennent «|, The above description is for: apnicable bos)’
| Hogi ad o which 8 corelopron . |.» Bd) -the larid on which the developmentis proposed; 6F = @
“the developments re ntatie +s CA) ‘the laid adjoining the water body or watercolirse, within which the devetopmentis
_ Watercourse) provide = 5s (gs <proposed;or PS PS
3 fat descripti the pny eg ‘. wot ae sie hie hot Bet g nt ‘ ms * : :
O° oringajeconiang oc |= | CED ii) the water body or Watercourse:” ©
: GPS coordinates where there is no.» SR a
o adjoiningladjacent land (eg. in Moreton Bay). - |. Shop/tenancynumber: .; 6.» Storey /level x... © 7." Total area of land: (m? or ha):
‘Atdestaccomieina al Oreoscastemvine | [WA A [506mg
development is within a water body or watercourse. N/A EE oo! N/A EO, a 506m2 = ——-
Advice for completing Q8-Q8appiesf- "18 - | gaat qavamnrant aaa in which the land is citvated: (eo Eek Hendy Bev j Aber itinable\ -
- development is within a local government afea. : ~. 8. Local government area In which the land is situated: (eg. Esk, Hervey Bay, , We Ooce0: etc.) (if applicable) . 7
Jocal government's area unless provided for under the = HE eo AB og isk bat Reb en EEGs na “ 2 7 :
: Local Government Act 1993. °°" "49. Port authority for the'strategic. port land or strategic port land tidaf area on which the --
Advice for aletin -Q9appliesif Sit" | sf, BE Seen PE ee He Ht ET ce 2 rs os ,
Hee eae eae potin er aésategic | de¥elopmentis proposed: (eg. Port of Brisbane, Port of Townsville) (f applicable) wn
fminvieeremeemeecs een |
Proposal details ——~—=—— «(| 10. Existinguuse of the land: (eg: vacanl siglahouse, shopelc) =... kn
@ weiisiraattnnencapiee |» [DelechedHouse
: é -" ° + «| 11s. Proposed use of the land: (eg. 6 unit apartment building, 30 fot residential Subdivision, ERA for aquaculture in
eee Tas |e ponds with’a total area of 7 ha for which wastes are released into waters etc). i
: = os 4 ise"). | Detached House
Other applicable parts ofForm1 = | 12. Other patts of Form 1 completed 4s part of this application "(eg Pat, Partiet)
completed parts of Form 1. For information about =. |. _ __ . 7
- when|¢ part of Form 4 may apply refer to Guide 1.) sO UO UE Le a a
| ‘Applicantdetails =,” 143. Applicantsname: 5. 18. Contactperson:
spol noo! pot be thé owner atte land eS? Oe et pater CI x Hannah Blue _
ae fi poy, 1g sé wh 4 Q a wg age we. sain fe =
Whefi signing and fodging this appticatio ” 14. C&ntact aumbé = aoa 16. Facsimile number/e-mail addréss: =...
maser ieheate GSgeren | oer
ingen iced cated. adsiment "| [are cane oo | 8455 6725 .
Seeker fooiatiofnwhen [oe SR OE nn: * % Po. ba?
_iphiagerapyrbferral agency adhe Cpl txecutve | 2 a ge Sa gee a TS
assesting and decidif tha application » T47, Postaladdress: =. 2 a a
fetta shoes Oo fy “ef | PO Box 1684, Noosa Heads Q 4567 _ | | ___|
= Win nang tO 118, Signature: swe we nee ee 19. Date FF. BE
“8 JUN.2007 Ey {8 Sionalre: foro gs he at a ae 19 a ie eee
, HDOSA SHIRE Conny: LG. flo ee
ON ee a
Wook a NANG SOL a. TD OE ke a ab or gE
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