06/1354 - MCU - Dwelling House & Lot Recon [As Published] · 132006.1354

INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 23 May 2006

Form 1 Development Application

y Common details & & |

a

   

 

 

The completion of alt applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed DAS Assessment Checklist if
required, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.qid.gov.au.
Any information requested in the form may be provided in an attachment to the appiication. For further information about completing the following details, refer to Guide 1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of land 1. Street address: fncludinghouse number, street name, suburb/ocality name & postcode) (if applicable)
All land the subject of the application, must be .,

@ identified. However, a description ofthe land is ol { 1 Laguna Street, Boreen Point Qld 4565 |
Cee ead Rebont heey aa 2. Name of water body or watercourse, within which the development is proposed: (if applicable)
Advice for completing Q2 - Q2 applies if { N/A , ]
development is proposed within a water body or — 7
watecourse, 3. Lot on plan description (eg. Lot 123 on RP 4567) / GPS coordinates:

Advice for completing Q3 - Most tand can be
identified by a lot on plan description. These details [ Part of Lot 21 on RP839106
ined from title d Nee
ce ceaineg fom He documents ortough he | 4 The above description is for: (ick applicable box)
However, if the land on which the development is (i) _ the land on which the development is proposed; or
Fo aa ian giaaspbon ie (2 (ii) the tand adjoining the water body or watercourse, within which the development is
watercourse) provide — proposed; or
(i) the fot on plan description for the om
siiongfocen land; ar [1 (iil) the water body or watercourse.
i) GPS coordinates where there i
® adloinngfadiacent tand (eg in Moreton Bay), 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (m? or ha):
Advice for completing Q7 - Q7 does not apply if the “
development is within a water body or watercourse. NIA N/A Li 309ha |
Advice for completing Q8 - 08 applies if in whi ie ci . eo
development is wihin a local government area, 8. Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) {if applicable)
Note: Areas below high water mark are not within a | Noosa Shire Council
loca! government's area unless provided for under the
Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
Advice for completing Q9 - 09 applies if Pr
ce. ompleti - Q9 applies j : i if i ic
development is an shateoic portland ora strategic development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
port land tidal area. For more details refer to Guide 11 | NIA |
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
lf there is insufficient room available, details may be
provided in an attachment to the application. . [ Vacant |

 

11. Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters etc).

| Two Residential Dwelling Lots |

 

 

 

 

 

Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part Z, etc)
Part A must always be ied by oth ;
completed parts of Form 1, For informaton about [Part Dd, F & Assessment Checklist |

when a part of Form 1 may apply refer to Guide 1
Applicant details : 13. Applicant's name: 15. Contact person:

Clearly identify who is making the application, Th . i

poh nat! be the owner ofthe tend. ° ‘cay aoe el Murray & Associates Blake Bell

Wh ing and fodaing this applicati 14 & a ly rn 16. Facsimile number/e-mail address:

Th ti ible fo th . Contact number:

ee Re iepeaccss [ron saat ies) SC*L at

 

 

 

      

17. Postal address:
PO Box 246
NAMBOUR QLD 4560

18. Signature: 19. Date:

/ L 26/6/2006