09/0464 - MCU - Detached House [As Published] · 132009.464

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if ul the reer are adjacent to or associated with a water body, watercourse or aquifer (0.9. river, creek, lake, canaf}

 

 

 
 

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; “NEM, of water body; boc walercou(se t oF aquifer in known)?

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See eS TRIES Det s : : Me eget eg Ee ea its Tea tek eee Skee bea ata
aoe Na ; 0 HW for:the.tidal as  Name'‘of port authority.for. the tidal.area (If appiicabts).:°:+:->-::
|S RES sal y ak oR et PET Oe hs ee eek re BEE SE TYTN TA Labs hta ee MOT ete A Be he te es Sane ete ee et Con cae

 

 

 

 

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3. Indicate the total area of the premises on which the development is proposed: (Note; The total area may include land both above and below water}

 

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SRE eSe Cee otal area Of premises«.

1,313.00 |B) me? {~] hectares (Tick applicable unit}

 

 

 

 

 

 

   

 

 

    
 

Existing use of the. io ae SENSES : PSE: ee
4, Current use/s of the premises: fea g. vacant land, house, lownhouses, apartment baiting shop, service station, school, sugar cane farming ote)
[1 | VACANT LAND
5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?
[ ] No Xx Yes - > Ensure the type, location and dimensians of each easement are included in plans, submitted with the application
Proposal details.) ULE A Ghat,

6. Brief description of the proposal fe g. 6 unit @ aparterent butting 30 fot residential subdivision, a bore, aquaculture)

 

2 STOREY RESIDENCE

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
ia No XX Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, s submitted with the application

  

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Resource entitlement (# applicable): - further information is provided inthe advice section af the end of the forms.

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habital areas, taking quary material, taking or interfering with water under ihe Water Act 2000, etc.)

 
 

x No - Goto Q9 Cj YeS - Complete Table G - provide details for each evidence required on a separate row. if applicable. Evidence of resource
. allocation or entittement must be submitted with the epplication. You do not need to answer Q9 - 90k fo the next section.

  
    
 

  

SRS plicable 1S Rae Sh TAN ARETE TA aS Sagat Gry eos. MERE ERTS Ne Ae Srey og SN TA det eee Pasty sae ees sy peste
a PRG ~ SEG; + . text aa Shara te section 2 pte he eS, Sei ‘2¢% a
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Owners. ‘consent (2sppiicabla).-< further. information Is provided, In tha'advice section ection atthe end of the foImesi ste Re eee

9. Complete Table H for applications involving a material change ofus use; reconfiguration of a lot; work on land be low high- -water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995: or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

   

 

 

 

 

 

  
   
  
  

 

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SL ginitry s : aS as Zs . seiiae SANS wie SSK ai ees re A : ae WUD i et
ax: Promises Owner's name/s: Details of fine . premises owned: Se CER SSN \ + Date‘conse
Tabje H rae and ix 244 aC dress: er aia eel ey Ae anst o 4S; eS : a Owne s : ate one oh MRS
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e Wend siedsente mt beh kP Ra aE NEES as ee ney ACU Aine: poe SaTAWR SNe SERB PRET Sede tion): SMe . Was: OL ta ANE
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Fees (? STARLET Lot Joy Noaso.
1 1212 Noosa $Payrusove SecAras Ove

NOOSA HEADS Q Noosa Hesds G
* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an

attachment containing appropriate written documentation of the cwner’s consent, If the owner is a company, 5127 of the Corporations Act 2001 (Coseth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the o PAwebsle.

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