07/2521 - MCU - Detached House [As Published] · 132007.2521

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007
6. Are there any existing easements on the premises (eg. for vehicular access, electricity, avertand flow)?
No

Yes - Complete Table H and ensure the location and dimensions of each easement are included in plans, submitted with the application

 

[Proposal details : ve ae
7. Are new uses proposed on the premises?

No
(D Yes - Provide details in Table!

8. Are new buildings or structures proposed to be erected on the premises?
[No

& Yes - Ensure the nature, location and dimensions of the proposed new buildings, structures or services are included in plans, submitted with the
application

 

[Applicant details . ]
9. Whois the applicant for the application?

 

 

Company/organisation name

(if applicable) Or S Rackemann (landowner)

 

 

 

 

Individual’ contact person details

Postal address [p.o Box 1684, Noosa Heads Q 4567

 

 

 

 

 

 

 

Contact telephone number [54 555 425

 

 

 

 

 

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Facsimile number [54 555 725 _ |

 

 

 

 

 

 

 

 

Mobile phone number [n/a
e-mail address {[[email protected] |
{Owner's consent and resource entitlement . |

 

10. Does the application involve a State-owned resource prescribed by schedule 10 of the integrated Planning Regulation 1998 (IP Reg) or
any other regulation?

No
oO Yes - Complete a new Table J for each State-owned resource and submit, with the application evidence of resource allocation or entitlement

11, Does the application involve land other than State-owned land (i.e. privately owned land) and require owner's consent?
[No

Xl Yes - Complete Table K and submit, with the application, written documentation of all owner's consent

Table K

 

““Ownernamels.. | Street address or-lot on plan description .. Date written consen te
wig uaa w - was obtained"

1 Stephen Charles Rackemann Lot 4 RP107639 . 22/11/2007

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