0015282D.001

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            INTEGRATED PLANNING ACT 1997                                                                                            Form 2, Version 3.3, 29 May 2006
                                       Form 2 Development Application                                                                                  idas

                                                                a      t a                                                  I

            Description of land                       1    Street address fncluding house number, street name, suburbylocality name & postcode} (if applicable
             ecm      subject of the application must be     229-231 Gympie Terrace, Noosaville
            |      .
            Advice for completing Q1                 2.    Number on existing development permit or             3.   Date issued:
            x gestae vee fan     way          in           preliminary approval sought to be changed:
            environmental relevant activity                  23789 DA                                                  September 2005
                          i   r tem,
            Advice for completing Q2 and Q3                                                         Hh:     '                     :              A    .
            Provide the information from the existing 4.   Name of water body or watercourse, within which the development is proposed: (if applicable
            approval hats the subject ofthis request fo
           change                                                            -.                                        j
            Advice for completing Q4                  5.   Loton plan description (eg. Lot 123 on RP 4567) /GPS coordinates
           Q4 applies if development is proposed in a        totstesorkP        36726     BAP      IATS     SL
            water body or watercourse                                          oo.
            Advice for completing Q5                  §.   The above description is for: (tick appticable box)
            Most land can be identified by a lot on plan       {i) the land on which the development is proposed; or
            description. These details can be obtained from     ii) the land adjoining the water body  or watercourse, within which the development i
            tite documents or through the local            Of)       roposed: ‘      a                y                 ,                     elopment is
            govemment.                                          _   Prop      ,
            However, if the land on which the development  CA (iii) the water body or watercourse.
           is proposed does not have a lot on plan                                    fj   :                                        “fk    .
            description (ie. the development is proposed in 7. Shop / tenancy number: (if applicable)           8.    Storey / ievel: (if appticable)
            a water body or weteroourse) —
            {i) provide the lot on plan description for the
               adjoining/adjacent land; or
            (ii) provide GPS coordinates where there is no
                adjoining/adjacent land (i.e. in Moreton
                Bay).
            Advice for completing Q3                  9.   Total area of land: (m2/ha)
            QS does not apply if the development is          711m2
            proposed within a water body or watercourse
            Advice for completing Q10                 10.  Local government area in which the land is situated (eg. Brisbane, Esk, Hervey Bay, Woocoo etc.) (if
            Q10 only applies if development is proposed    applicable!
            within a focal govemment area.                   N       Shire Council
            Tidal areas are below high water mark and are  | NoosaShireCounc!             ss                                                  ——s—CsCOY re Goune
           not within a local govemment's area.
            Auivice for compsetine ait a com net att tis proposed 11. Port authority for the strategic port land or strategic port land tidal area on which the
                only appfies if development is pro on                    .                         .                  ty        .
            strategic port land or a strategic port and tidal development is proposed (eg. Port of Brisbane, Port of Townsville) (if applicable)
            area
            For more information refer to Guide 14
            Development on strategic port land
            Note: These details will be included in the
            original decision notice for the approval you
            now wish to modify.