0015D13F.001

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        — INTEGRATED PLANNING ACT 1997                                                                                           Part A, Version, 2.4, 29 May 2006
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                                                                                                                                     A.       £7.
                 The completion of aff applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
                     required, and by one (1) or more other completed parts of the Form as required. For mora information on the parts of the Form refer to www.ipa.ald.gov.au.
               Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1.
              Description of land                      1.   Street address: ¢nctudinghousa number, street name, suburtvlocality name & postcode) {if applicable)
              ented However, desenpn of eared               [gX[3_            Du ASEEKER,                      Os                 oOsinie                  ALC
              Alljand the   of the    ion,  t be                                                                     mm
©            Hee      tay Retort ncbety (ea           2.    Name éf water body or watercourse, within which the development is proposed: (if applicable)
              development is proposed within a water body or                                                          -
            wateoourse.                               3.    Lot on plan description (eg. Lot 123 on RP 4567) / GPS coordinates:
              Advice for completing Q3 - Most land can be
             Kerby alt on lan desciton These deta               OF     [ER         ON               I~    Lf ge
              Py nocanent ue Sonmentsortivouhe | 4          The above description is for: (tick applicable box)
              However, ifthe land on which the development is () (i) the land on which the development is proposed; or
              Seriorclpran tn peocend we walerbooror      [Ti the land adjoining the water body or watercourse, within which the development is
              watercourse) provide —                                proposed; or
              0 niosgomtad oe                               C1 (iii) the water body or watercourse.
              "   own yafacent ant og. o Morton Bay). 5.    Shop / tenancy number:         6.   Storey / level:            7.    Total area of land: (m? or ha):
              wiememamavemmemie |                       [                         )             CL
              Gevelopment is within a water body or watercourse.
             AE           TE ee coer ment area.       8,    Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo eft.) (if applicable)
              Ramcmanammnneatonr |                         | (Voosa SDire lanc{                                                                Sd
             local govegments Beer unless provided for under the   008A          Sf71 Te.           LOEA7Cr
            ies          eng 179                      9.    Port authority for the strategic port land or strategic port fand tidal area on which the
              eye aba              co aos      x           development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
@             Proposal detdita/ E, 2.     ¢            10.  Existing use of the !and: (eg. vacant, single house, shop etc.)
        wl    I ers Buy          avaible, debieyya             D                              .
        =|    provided in an Denes ahi                                                        !
               Has, Sup              -    |            11.  Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
                 FROW T coy fec                            ponds with a total arpa of 7 ha for which wastes are released into waters efc).
                            TER                               Ly             eo Fivtei               [Oley
             “Sue ange          rts     rm 1           12.  Other parts of Form 1 completed as part of this application: (eg. Part D, Part J, etc)
              moments,                             | LE                 Ss  CAICEUST
              completed parts of Form 1. For information about         ao
              when a part of Foem 1 may apply refer to Guide 1.
              Applicant details                        13.  Applicant'sname:        |      i               15.  Contact person:         2
              crpicant nee ot be fo ower of be and.         [Noose Fy BADES|                                    |G                     LA
             When signing and lodgina this application 14.  Contact number:      C/                        16.  Facsimile number/e-mail address:
              information provided {s correct. The assessment
              manager, any referral agency & the Chief Executive
              (where applicable) will rely on this information when ~| 17. Postal address:                               -
                eee                                           20     LOX QFIF                      Tpaaie Zoe
              Hitha applicant Is a company - a contact person [HO                    a    IT Nk OF:                                          cokes
              must be shown.                           18.  Signature:             f/f                                   19.   Date:
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