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

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