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Development Application Part 1 of 2 - Cover letter IDAS form 1 & 6 Owners consent & Confirmation of Insurance 7 Banksia Avenue Noosa Heads · OPW10/2120

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Page 2

U   UJe +aere horn +o he 64ders.                                      AUSMAR
    AIICMAR ie n nun ri-surestn wimmom S nun mto                                  ^j`^k!%^




     Our Ref:           PGa
     Your Ref:
     Date:              21 September 2010
     Attn:              Development Services - Works Assessment



     The Chief Executive Officer
     Sunshine Coast Regional Council
     Locked Bag 72
     SUNSHINE COAST MAIL CENTRE QLD 4560



     RE:         Development Application for Development Permit for Operational Works
                 Driveway Access
                 Lot 11 SP188268 - 7 Banksia Avenue, Noosa Heads


     Please find enclosed application forms and supporting material in relation to an application for
     Development Permit for Operational Works (Driveway Access) at the abovementioned
     property.

     The proposed development consists of a single detached house to be constructed on the
     property. This application is required in order to secure building approval.

     It is understood the parent approval for this estate is reference number 23116DA, issued by
     the former Noosa Council, dated 12 August 2004.

     A covenant on title is attached to the property that requires a Development Permit for
     Operational Works for Driveway Access through the Covenant Area is obtained from Council.

     The design documentation has been prepared by suitably qualified professional engineers.

     The application material consists of:

           1.       IDAS Forms 1 & 6;
           2.       Civil Works Detail & Layout Plan prepared by DEQ Consulting Engineers (5
                    copies); and
           3.       Cheque made payable to Sunshine Coast Regional Council in the amount of
                    $625.00 0, z           tee,


    We respectfully request Sunshine Coast Regional Council accepts the application as
    "properly made" pursuant to Section 260 of the Sustainable Planning Act 2009 and proceeds
    with assessment in accordance with the IDAS timeframes.




                                                                                  T   07 5442 6413
                                                                                  F   07 5442 6549

                        (Master         MIA members
                        Builders        the best in the business

Page 3

If you have any queries or require further information, do not hesitate to contact Stephen
Vlatko-Rulo at our office or by email stephen.vlatko ruin a),ausmarhomes.com.au




Planning & Approvals Administrator



Enc:    Application Forms and Supporting Material

Page 4

l




    Application Details - IDAS form 1
    (Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)


    You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
    necessary information and documentation will result in your application not being a properly made application.
    For all development applications, you must:
    •     complete this form (Application details - IDAS form 1)
    •     complete any other forms relevant to your application
    •     provide any mandatory supporting information identified on the forms as being required to accompany your
          application.
    All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
    Planning Regulation 2009.

    Applicant details (note: the applicant is the person responsible for making the application and need not be the
    owner of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is
    correct. Any development permit or preliminary approval that may be issued as a consequence of this application will
    be issued to the applicant.)

    Please note: If there is more than one applicant, provide additional applicant details by clicking the "Add another
    applicant" button below.


    Name/s (individual or company name in full)                  Ausmar Homes Pty Ltd

    For companies, contact name                                   Step he nViatko-Ru lo

    Postal address                                                PO Box 418 Cooroy 4563

    Contact phone number                                          5442 6413

    Mobile number (non-mandatory)

    Fax number (non-mandatory)

    e-mail address (non-mandatory)                               [email protected]




    1. What is the nature of development proposed? (tick all applicable boxes)

    q    material change of use of premises
    q    building work
    ® operational work
    q    reconfiguring a lot




                                                                                                          Queensland
                                                                                                               mMent

Page 5

qqiq
2. What type of approval is being sought?

® development permit
q    preliminary approval
q both - provide details below


3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?

® No
q    Yes - complete table A and then go to question 5




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

Table B - street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                               Lot on plan
                Street Address
                                                                               description
                                                                                                  Local government area
                Unit   Street       Street name and official       Post            Plan type        (e.g. Logan,Cairns)
                                                                          Lot No
                                                                              No.
                No.     No.          suburb/locality name          code           and plan no.

            1          7        Banksia Avenue, Noosa Heads 4567          11      SP188268       Sunshine Coast

® Street address / lot on plan
  Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
q water e.g. jetty, pontoon)
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 (note: place each set of
                coordinates in a separate row)                         Zone                           Local government
                                                                                       Datum
                                                                     reference                        area (If applicable)
                  Easting       Northing    Latitude   Longitude
                                                                                  q GDA94
                                                                                  q WGS84
            1
                                                                                  q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)
1014m2
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)


        1       Vacant Land



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

New Dwelling




                                                                                             Applicatroi Deia'Is - IDAS form I
                                                                                               Version 1.0 18 December 2009

Page 6

8. 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 (note: do not complete this table if lodging the application on-line using Smart eDA)


Name of owner/s of the land

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


Table E


Name of owner/s of the land        Peter & Jeanne Georgius

® The owner's written consent is attached or will be provided separately to the assessment manager


Table F


Name of owner/s of the land

  By making this application, I, the applicant, declare that the owner has given written consent to the making of
q the application.

9. Does the application involve a state resource? (e.g. the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)


Z No                             q Yes - complete table G


10. Identify if any of the following apply to the premises (tick applicable box/es)

        adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
        on strategic port land under the Transport Infrastructure Act 1994 - complete table I
        in a tidal water area - complete table J

11. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
    water, etc.)

   No     q Yes - ensure the type, location and dimension of each easement is included in the plans submitted




                                                                                          Application Details - IDAS form I
                                                                                            Version 1.0 18 December 2009

Page 7

12. Does the proposal include new building work or operational work on the premises? (including any
    services)

q No ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted

13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
    end of this form for more information)

® No - Go to question 15                         Yes

                                                                                  QLeave Project Number (6 digit number
Table K                           Amount paid                    Date paid
                                                                                  starting with A, B, E, L or P)

           1


15. Has the local government agreed to apply a superseded planning scheme to this application under
    section 96 of the Sustainable Planning Act 2009?


® No
q    Yes - provide details below


16. List below all of the forms and supporting information that accompany this application (include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA)

                                                                                                   Method of lodgement to
                                  Description of attachment or title of attachment
                                                                                                    assessment manager

               1   IDAS Form 1                                                                      mail


            2      IDAS Form 6                                                                      mail


            3      Engineering Plans                                                                mail


            4      Owners Consent                                                                   mail


            5      Slope Stability Report                                                           mail


            6      Cover letter                                                                     mail


17. Applicant's declaration


      By making this application, I declare that all information in this application is true and correct (note: it is
      unlawful to provide false or misleading information).




                                                                                              Application Details - IDAS form 1
                                                                                                Version 1.0 18 December 2009

Page 8

7717
Notes for completing this form

Question 8:
•  Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required
   for an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is
   required under section 263, then an application must contain, or be accompanied by, the written consent of the
   owner, or include a declaration by the applicant that the owner has given written consent to the making of the
   application.
• Owner's consent is not required for a mobile and temporary ERA.

Question 9:
• Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a state resource, a
   regulation may require the application to be supported by certain evidence prescribed under the regulation.
   Schedule 14 of the Sustainable Planning Regulation 2009 prescribes the state resources for which evidence is
   required to be given, and the evidence required, to support the application.

Question 13:
•  The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable
   long service leave levy is payable.
• The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
   are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 14:
• The portable long service leave levy need not be paid when the application is made, but the Building and
   Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
   permit is issued.
•  Building and Construction Industry Notification and Payment Forms are available from any Queensland post
   office or agency, on request from QLeave, or can be completed on the QLeave website at
   www.gleave.gld.gov. au. For further information contact QLeave on 1800 803 481 or www.qleave.qld.gov.au.

Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP) in
accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
2009) or as required by Parliament. This information may be stored in a departmental database. The information
collecfed WH_ retained as required by the Public Records Act 2002.

OFFICE USE ONLY


Date received                                Reference numbers


NO JEICAIIQN_37 'ENGAGEJVI>ENT OF A PRW4 TE CERTIFIER

                                                      Council. I have been engaged as the private certifier for the
To:
                                                      building work referred to in this application.


Date of                                                                   BSA Certification      Building
                    Name
engagement                                                                license number         classification/s




                                                                                        Applcaticr; Details - IDAS form I
                                                                                          Version 1.0 18 December 2009

Page 9

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                              Date receipted
                                      QLeave Project   Amount                 form sighted by Name of officer who
              Description of the work                             Date paid
                                      Number           paid ($)               assessment      sighted the form
                                                                              manager

        1


The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                     Applicar,7n Detaiis - IDAS form I
                                                                                       Version 1.0 18 December 2009

Page 10

Building or operational work assessable
against a planning scheme - IDAS form 6
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This form must be completed for development applications for building works or operational work assessable against
a planning scheme.
You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.
For all development applications, you must:
•     complete Applicant details - IDAS form 1
•     complete any other forms relevant to your application
•     provide any mandatory supporting information identified on the forms as being required to accompany your
      application.


All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable Planning
Regulation 2009.

This form can also be used for development on strategic portland under the Transport Infrastructure Act 1994.

1. What is the nature of the work that requires assessment against a planning scheme? (tick applicable box/es)

q building work - complete table A                    ® operational work - complete table B


Table B


          What is the nature of the operational work made assessable in the planning scheme? (tick applicable box/es)


          q road works                    q stormwater                   q water infrastructure
          q drainage Works                q earthworks                   q sewerage infrastructure
          q landscaping                   q signage                      q clearing vegetation under the planning scheme
          ® other - please specify below

Driveway
          What type of approval is being sought? (if you have indicated multiple works in the above question, please
          use an attachment to this form to detail each approval request)

          ® development permit                q preliminary approval                q both - specify below

          Is the operational work necessary to facilitate the creation of new lots? (e.g. subdivision)

          ® No          q Yes - specify the number of lots being created

          Are there any current approvals associated with this application? (e.g. material change of use)

          q No          ® Yes - provide details below

Page 11

               List of approval reference/s                    Date approved               Date approval lapses

          1    23116DA                                         12/8/2004




2. What is the dollar value of the proposed building work? (inc GST, materials and labour) $10,000




                                         Building and operational work assessable against a plannin s ^eme - IDAS form 6
                                                                                            Version 1.0 18 December 2009

Page 12

3. Confirm the following mandatory supporting information accompanies this application
                                                                                 Confirmation
                                                                                                   Method of lodgement
                                                                                 of lodgement
All applications for operational works

site plans drawn to scale which show the following:
•   the location and site area of the land to which the application relates
    (relevant land)
•   the north point
•   the boundaries of the relevant land
•   the allotment layout showing existing lots, any proposed lots (including
    the dimensions of those lots), existing or proposed road reserves,       ® confirmed           over the counter
    building envelopes and existing or proposed open space (note:
    numbering is required for all lots)
•   any existing or proposed easements on the relevant land and their
    function
•   any access limitation strips
•   all existing and proposed roads and access points on the relevant land

a statement about how the proposed development addresses the local
government's planning schemes and any other planning documents                   ® confirmed       over the counter
relevant to the application
Applications for operational works involving earthworks (filling and excavating)


drawings showing:
•   existing and proposed contours
•   areas to be cut and filled
•   the location and level of any permanent survey marks or reference
    stations used as datum for the works                                         q confirmed
•   the location of any proposed retaining walls on the relevant land and
    their height
•   the defined flood level (if applicable)
• the defined fill level (if applicable)
Applications for operational works involving roadworks

drawings showing:
•   existing and proposed contours
•   the centreline or construction line showing chainages, bearings, offsets
    if the construction line is not the centreline of the road and all
    intersection points
• information for each curve including tangent point chainages and
    offsets, curve radii, arc length, tangent length, superelevation (if
    applicable) and curve widening (if applicable)
• kerb lines including kerb radii (where not parallel to centreline) and
    tangent point changes (where not parallel to centreline)
• edge of pavement where kerb is not constructed                             q confirmed
• position and extent of channelisation
• location and details of all traffic signs, guideposts, guardrail and other
    street furniture
• pavement markings including details on raised pavement markers
• catchpit, manhole and pipeline locations
• drainage details (if applicable)
• cross road drainage culverts (if applicable)
• concrete footpaths and cycle paths
• location and details for access points, ramps and invert crossings
• changes in surfacing material
                                              Building and operational work assessable against a planning scheme - IDAS form 6
                                                                                                  Version 1.0 18 December 2009

Page 13

                                                                               Confirmation
                                                                                                 Method of lodgement
                                                                               of lodgement
Applications for operational works involving stormwater drainage

drawings showing:
•   existing and proposed contours
•   drainage locations, diameters and class of pipe, open drains and
    easements                                                                  q confirmed
•   manhole location, chainage and offset or co-ordinates and inlet and
    outlet invert levels
•   inlet pit locations, chainage and offset or co-ordinates and invert and
    kerb levels
Applications for operational works involving water reticulation


drawings showing:
• kerb lines or edge of pavement where kerb is not constructed
• location and levels of other utility services where affected by water
    reticulation works
•   pipe diameter, type of pipe and pipe alignment
•   water main alignments                                                      q confirmed
•   water supply pump station details (if applicable)
•   minor reservoir details (if applicable)
•   conduits
•   location of valves and fire hydrants
•   location of house connections (if applicable)
•   location of bench marks and reference pegs
Applications for operational works involving sewerage reticulation

drawings showing:
• location of all existing and proposed services
• location of all existing and proposed sewer lines and manhole locations
• location of all house connection branches
• kerb lines or edge of pavement where kerb is not constructed
•   chainages                                                                  q confirmed
•   design sewer invert levels
•   design top of manhole levels
•   type of manhole and manhole cover
•   pipe diameter, type of pipe and pipe alignment
•   location of house connections (if applicable)
•   sewer pump station details (if applicable)

Applications for operational works involving street lighting

drawings showing:
• location of all light poles and service conduits
• location of all other cross road conduits
• type of wattage and lighting
                                                                               q confirmed
• any traffic calming devices
• additional plans for roundabouts and major roads (if applicable)
• details of any variations to normal alignment
•   details of lighting levels




                                            Building and operational work assessable against a planning scheme - IDAS form 6
                                                                                                Version 1.0 18 December 2009

Page 14

                                                                              Confirmation
                                                                                                Method of lodgement
                                                                              of lodgement
Applications for operational works involving public utility services
drawings showing:
• any existing light poles and power poles
• any existing underground services                                            qconfirmed
• details of proposed services
• alternation to existing services

Applications for operational works involving landscaping works

drawings showing:
•   the location of proposed plant species
•   a plant schedule indicating common and botanical names, pot sizes
    and numbers of plants
•   planting bed preparation details including topsoil depth, subgrade
    preparation, mulch type and depth, type of turf, pebble, paving and        FIconfirmed
    garden edge
•   the location and type of any existing trees to be retained
•   construction details of planter boxes, retaining walls and fences
•   the proposed maintenance period
•   irrigation system details

Notes for completing this form:
• This form can also be used for development applications for building works or operational works assessable
  against the land use plan for Cairns airport land or Mackay airport land. Whenever a planning scheme is
  mentioned, take it to mean the land use plan for the airport land.


Privacy -please refer to your assessment manager for further details on the use of information recorded in
this form.


OfFI4^=1'i^^ n t                       rater
Date Received          SEP 2010        Referenc1 Numbers
                                                                      w p v


     Sttstairia6/e:P/ann'Jng Act 2009 is administered by the Department of Infrastructure and Planning. This form and
all other required application materials sh6ufdb6 sent to your assessment manager and any referral agencies.




                                           Building and operational work assessable against           scne-,me - IDAS form 6
                                                                                              Version 1.0 16 December 2009

Page 15

3. Confirm the following mandatory supporting information accompanies this application
                                                                                Confirmation
                                                                                                  Method of lodgement
                                                                                of lodgement
All applications for operational works

site plans drawn to scale which show the following:
•   the location and site area of the land to which the application relates
    (relevant land)
•   the north point
•   the boundaries of the relevant land
•   the allotment layout showing existing lots, any proposed lots (including
    the dimensions of those lots), existing or proposed road reserves,          ® confirmed       mail
    building envelopes and existing or proposed open space (note:
    numbering is required for all lots)
•   any existing or proposed easements on the relevant land and their
    function
•   any access limitation strips
•   all existing and proposed roads and access points on the relevant land

a statement about how the proposed development addresses the local
government's planning schemes and any other planning documents                  ® confirmed       mail
relevant to the application
Applications for operational works involving earthworks (filling and excavating)


drawings showing:
•   existing and proposed contours
•   areas to be cut and filled
•   the location and level of any permanent survey marks or reference
    stations used as datum for the works                                        q confirmed
•   the location of any proposed retaining walls on the relevant land and
    their height
•   the defined flood level (if applicable)
•   the defined fill level (if applicable)
Applications for operational works involving roadworks

drawings showing:
• existing and proposed contours
• the centreline or construction line showing chainages, bearings, offsets
    if the construction line is not the centreline of the road and all
    intersection points
• information for each curve including tangent point chainages and
    offsets, curve radii, arc length, tangent length, superelevation (if
    applicable) and curve widening (if applicable)
• kerb lines including kerb radii (where not parallel to centreline) and
    tangent point changes (where not parallel to centreline)
• edge of pavement where kerb is not constructed                             q confirmed
• position and extent of channelisation
• location and details of all traffic signs, guideposts, guardrail and other
    street furniture
• pavement markings including details on raised pavement markers
• catchpit, manhole and pipeline locations
• drainage details (if applicable)
• cross road drainage culverts (if applicable)
• concrete footpaths and cycle paths
• location and details for access points, ramps and invert crossings
• changes in surfacing material
                                            Building and operational work assessable against a planning sche : e - IDAS form 6
                                                                                                Version 1.0 18 December 2009

Page 16

     OWNERS CONSENT TO LODGING DEVELOPMENT
               APPLICATION FORMS
PROPERTY DESCRIPTION:

Site Address:     Banksia Ave Noosa Heads Qld 4567
Lot No:           11
Ptan No:          SP 188268

To Whom It May Concern:

The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
development approvals including plumbing for the property as noted above in order to receive a permit to build on the
said property and have signed below.

It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any
council or state government forms necessary for submission for and on our behalf in order to obtain development
approvals.

REGISTERED OWNER./S AS PER DEPT. NATURAL RESOURCES RECORDS

Name             ," Qeorgius                                      Name                 Jeanne Ileidi Georgius



Signature         1.'. ^X\ .....................                  Signature
                                wner



Postal Address:
PO Box 2410
NOOSA I-LEADS QLD 4567

BUILDER / APPLICANT DL TAILS:

Name:
Ausmar Homes Pty Ltd                                     Signature: ....................................................

Postal Address:
PO Box 418
COOROY QLD 4563

                 NOTE: PLEASE USE BLOCK LETTERS WIZEN COMPLETING THIS FORM

Page 17

21/09 2010 TUE 13:47 FAX +61 7 3225 2829 BSA Queensland                                                                          0001/001



                                                BUILDING" SER"VI(ES                                 ITY
    M   f`     Ui1
                                         Plec^sc cdclross oil corresponclence lo GPO BOX 5099 BRISBANE OLD 4001


             Contact:      Customer Service Centre                                           Our Ref:     10921496
             BSA Office:   Brisbane
             Telephone:    1300 272 272
             Fax.          07 3225 2829

                                                                                                                     BRISBANE.
                                                                                                                     299 Monlno.o Rood
                                                                                           21 September 2010 I o>. 322:i 2<%99

                                                                                                                     GOLD COAST
                          Ausmar Homes Pty Ltd                                                                       Rob-no 5,.pa' cenIlc
                          Po Box 418                                                                                 116 Role, no lows
                                                                                                                     Centre D-fvc
                          COOROY QLD 4563
                                                                                                                     Robwo 01:) 4226
                                                                                                                     lox ;575 7656


                                                                                                                     TOOWOOMBA
                                                                                                                     GeshMall
                                                                                                                          (Cl)
                                      Confirmation of Insurance No. 10921496                                         13 IA Her, cs it c,a
                                                                                                                     1(0woc'n1,C 01.0 4350
                                                                                                                     fax /i538 I<il/
             CONSTRUCTION AT:                     LOT 27 ON SP 230840
             SITE ADDRESS:                         Isobel Court, GYMPIE QLD 4570
                                                                                                                     SUNSHINE COAST
             PERFORMED BY:                        Ausmar Homes Pty Ltd
             LICENCE NUMBER:                      1083000                                                            '^l) C)(l^vr_torr CI I) x:553.
                                                                                                                     'rax   i'i9 96 o.

             The BSA confirms the abovementioned contractor has paid the "appropriate insurance
             premium" for work described as 1 X NEW DWELLING to be performed at the above                            MARYBOROUGH
             address. This letter is satisfactory evidence for an Assessment Manager to comply with 2 6 loo o^V[l treol 40 0
             the requirements of Section 68(2) of the Queensland Building Services Authority Act 19911(,X 41 22 3131:
             for issue of a development approval.
                                                                                                                     ROCKHAMPTON
                                                                                                                     164 l3( 5r kS. 5),n,1
                                                                                                                     cor I:Ipi,io510nC SIIeel
                                                                                                                     No,117 i(oc.kIu..ypion
                                                                                                                     0'0 4 /01
                                                                                                                     (ox 4976


             Mandy McCosker
                                                                                                                     MACKAY
             Executive Manager Insurance                                                                             2s          12 CCI
                                                                                                                     x\ockay C)I I) ,1:40
             Notified Contract Value               $218,852.00                                                       lax 4<.>';:; ,^ 151
             Insurance P remium                    $1, 961 . 10
             Premium includes GST of               $ 178.28                                                          TOWNSVILLE
                                                                                                                     7)1% Roos I6x       Roar
                                                                                                                     P,ill,ra 5< 1,7 C7i C di' 14
             NOTE: THIS DOCUMENT IS TO BE PRESENTED TO THE CERTIFIER / COUNCIL AS                                    Ina (/z5 i401
             EVIDENCE THAT INSURANCE HAS BEEN EFFECTED TO ENABLE THE ISSUE OF
             THE DEVELOPMENT APPROVAL.                                                                               CAIRNS
                                                                                                                       131 6'om,,!lei SI,<;el
                                                                                                                     'A"osi,:ou,l OIl) 413/0
                                                                                                                     Fur: A0,18 1124




        TELEPHONE
                                ;o)3nC                                                                                      r:    i
        STATEWIDE           ,                                        WEBSITE   W`yW.

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