08/1491 - MCU - Detached House [As Published] · 132008.1491

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

 

 

(na ton proved an the IDAS Application Form is correct. This information is relied upon ty the Assessment Manager and any refS altige i i '
deciding this application, By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA. Any develope! eri or preliminary i
tapproval that may be issued as a consequence of this application will be issued fo the Applicant) __ _..

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Company/organisation name (if applicable) [

 

Individual applicant/Contact person (if there is more than one applicant, provide additional applicent details on an attachment to this form)

Title [vr &Mrs__ | Firstname [Warren L& Ellen R Last name [Walker

Postal address INo. 7 Kareela Avenue, Noosa Heads Q 4567

Contact telephone number [5455 4334 Mobile phone number
Facsimile number e-mail address [[email protected]

 

 

 

 

 

 

 

 

 

 

 

Details of the premises (ie. the and on which the development is proposed - -referto the advice at the end of the form) / md
1. \dentify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is ; given to identity the premises)
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A onty. Then go to Q2.

 

 

| Name of each local government area in which the mobile and temporary ERA is proposed to operate

[4
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Table B Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
(i) [LJ Street address / lot on pian for the premises (Appropriate for most applications including building applications); OF

 

 

 

 

(ii) [J Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water 0.9. jetty,
pontoon etc) (Note: Loton plan details may be obtained from title documents, a ‘Rate' notice, or from the local government.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ta Street Address Lot on oan cecctption Local government area (eg. Logan,
No. | No. |  SteetName and official suburtvlocalty name | Post Code | Lat No. Plan {ype ber Caims)
4 51 Witta Circle, Noosa Heads 4567 114 21845 Noosa
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.9. channel dredging in Moreton
Bay) atc.)
Coordinates
(Note: place each set of coordinates in a separate row} Zone Datum Local government area
Easting Northing Latitude Longitude Reference (if applicable)
1 FF pepaga
[7 weses
[Other -

 

 

 

 

 

 

 

 

 

 

2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following charecteristics, however some applications may involve one or more of these characteristics - complete only if applicable}