MCU11/0213 Development Application Part 1 of 2 Application Forms 142/58 Noosa Springs Dve Noosa Heads

2. What type of approval is being sought?

® development permit
q   preliminary approval
q both - provide details below


3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?

® No
q    Yes - complete table A and then go to question 5




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

Table B - street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                                Lot on plan
                Street Address
                                                                                description
                                                                                                     Local government area
                Unit   Street       Street name and official       Post               Plan type        (e.g. Logan,Cairns)
                                                                          Lot No..
                No.     No.          suburb/locality name          code              and plan no.

            1                   Corner of Lake Edge Drive and             Lot        5P213883
                                                                                                    Sunshine Coast
                                Bennets Road, Elysium,                    142
                                Noosa Heads
q Street address / lot on plan
  Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
q water e.g. jetty, pontoon)
Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)

                Coordinates (note: place each set of
                coordinates in a separate row)                         Zone                              Local government
                                                                                         Datum
                                                                     reference                           area (If applicable)
                  Easting       Northing    Latitude   Longitude
                                                                                     q GDA94
                                                                                     q WGS84
            1
                                                                                     q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)
427m2
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)


        1       Vacant land



7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

Detached House



                                                                                                Application Details IDAS -
                                                                                                                         form -l
                                                                                                  Version 1.0 18 December 2009