07/1172 - MCU - New Dwelling [As Published] · 132007.1172

 

|

Pari A, Version 2.4, 29 May 2006

 

 

The compietion of all 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 paris of the Form as required. For more information on the parts of the Form refer to www.ipa.qid.qov.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: fncludinghouse number, sireet name, suburb/ocality name & postcode) (if applicable)
Allland the subject of the application, must be Yl r ey al Ay ol i
identified. However, a description of the fand is nol Hooxe A G win ALl2 é al nla ”
required in relation to a mobile or temporary ra . ’ “44 it -
Environmentally Relevant Activity (ERA), 2. Name of water body or watercourse, within which the development is proposed: (if applicable)
Advice for completing Q2 - 02 applies if [ NA
development is proposed within a waler body or ~ -
watecourse. . 3. Lot on plan description (eg. Lot 123 on RP 4567)/ GPS coordinates: ,
Advice for completing 3 - Most land can be 7 7 a 7

fentified by a lot on plan description. These details [ C3 PF 206 Cn Gf t & 7O a4 “|
can be obtained from title documents or through the | , rayreen Ts -
local government, 4, The above description is for: (tick applicable box)
However, if the land on which the development is (i) the land on which the development is proposed; or

d dt th lot on plan description (i.e. oe ee wae . ; :
the developments proposed in waterbody or te C (ii) the land adjoining the water body or watercourse, within which the development is
watercourse) provide = proposed; or
i) the fol on plan description for the a9
° aciining/adjacent ian, at D (iii) the water body or watercourse.
ii) GPS coordinates where there is no . . :
a adjoiningladjacent land (eg. in Moreton Bay). 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (m? or he):
Advice for completing Q? - 07 does not apply if the F " 2 mS
development is within a water body or watercourse. L NIA L l j
Advice for completing Q8 - Q8 applies if \ i ie sj + i q
developmentis vihin 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 DORM
local governmeni's area unless provided for under the L N 7 _
Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
Advice for completing 9 - O9 applies if ij « i i! F, i .
developmentis on strategie port land or a strategic development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
port tand tidal area, For more detaits refer to Guide 11 [ NIA
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
if there js insufficient room available, delails may be
provided in an attachment to the application. [Vacant J
11. Proposed use of the land: (eg. ‘6 unit apartment building, 30 lol residential subdivision, ERA for aquaculre i in
ponds with a total area of 7 ha for which wastes are released into waters etc).
New Owellin
9
Other applicable parts of Form 4 42. Other parts of Form 1 completed as part of this application: (eg. Par D, Part, etc)
Pant A must always be-accompanied by ather
completed parts of Form +. For information about | Part B, Forms 1 & 2 |
when a parl of Form 1 may apply refer to Guide 4,
Applicant details 13. Applicant's name: 48. Contact person:
Clearly identity who is making the application. The > j a
applicant need not be the owner of the land. [Coral Homes Qld Ply Ltd Kan VV Caradk |
When signing and lodging this application 14. Contact number: 16. Facsimile hufnber/e-mail address:
The applicant is responsible for ensuring the
information provided is correc!. The assessment | (07} 55 852 555 ] | (07) 55 852 500 |
manager, any referral agency & the Chief Executive .
(where applicable) will rely on this information when 17. Postal address:
assessing and deciding the application. mn
Ifthe applicants a company - a contact pesson [ cr. Suncoast Building Approvals PO Box 1054, Maroochydore QLD |
musi be shown. . .
18. Signature: 19. Date.

 

 

 

 

 

 

 

 

 

22fSfe