20080490 - Decision Notice [As Published] · 112008.490

C8213

Part A, Version 3.1,3 March 2008

INTEGRATED PLANNING ACT 1997

   
  

Part A

Common details

   

OTE: Answer all af questions unless directed fo go to a particular qvestion R Refer to the end of the form for advice on how to complete this form.

 

 

 

 

 

 

 

Title

 

 

 

| Last name

 
 
  
  
   

 

Postal address

 

Contact tetephone number

 

 

 

Facsimile number:

 

 

1. Identify the premises by complefing Table A, or Table B andlor Table C ensure adequate information i is given to identify the premises)
Table'A Ifthe application is for a mobile and temporary Environmentatly Relevant Activity (ERA), complete Table A only. Then go to 02,

 

 

 

Tatfle B t address for the premises (tick applicable box/es below and insert property description in the table, Identify éach tot in 8 separate row, }

@ (2) Street address / fot on plan for the premises (Appropriate for most applications including building eppkcations}; OF

@ C1 Steet address fot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jety,
pontoon etc (Note: Loton plan detats may be obtained fom tite documents @ Rate‘ nofce, or fom the focal government)

Ea}

 

 

 

 

 

 

 

 

 

 

ss overnnint aca fo
Lt [ONE foe ge 4663) 3 |218776\ Vas4.
AND/ OR
Table C Coordinates and/or a map of the premises (Agpropiate for development in remote areas, over part of a ky, in water (e.g. channel dredging in Moreton
Bay) ac)

 

 

 

 

 

 

 

 

 

 

 

2. Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: ta most instances, the premises wil not invove any of
the following characteristics, however some applications may involve ane or more of these characteristics - complete onty if appkcable}