09/1689 - Multiple Housing Type 2 Duplex [As Published] · 132009.1689

INTEGRATED PLANNING ACT 1997

    
   

Part A, Version 3.1, 3 March 2008

Form 1 Development Application.

evelopment Counter

  
  
      

 

- 1 DEC 2009
Common details
. Tewantin __.
OTE: Answer all questions unless directed to go to a particular question. Refe emf e on how to complete thig form.

 

 

(Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. The Applicant.is responsible for ensuring ihe |
linforration provided é on the IDAS Application Fon is corrects This information is is relied. upon by thie Assessimerit Manager ¢ ‘and any referral agencies when assessing and’ '.

deciding, this application. By lodging: this application, the Applicant incurs the obligations and responsibilities Prescribed by ‘the IPA, Any development perm or. preliminary
approval that may bé issued as a consequence of this application will-be issued to the Applicant.)=

 

a ‘ ie : : ib

 

 

 

 

Company/organisation name (if applicable)

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title Ms Firstname |Nadine Lastname Gorton

Postal address C/Martoo Consulting Po Box 1684 Noosa Heads Q 4567

Contact telephone number |5455 5425 Mobile phone number

Facsimile number 5456 5725 e-mail address [email protected]

 

 

 

 

 

 

 

 

 

(Details of the premises (i:e. the fand on which the development is proposed .~-refer.to the advice’at the end of the form).

1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to dont the premises)
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

  

 

[ cat “".- Name of,each local govemment area in which.the mobile’ and temporary, ERA‘is proposgd.to, operate:

[1
OR
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.)

oh

 

 

 

 

(i) [J Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

(i) [7] Street address Act on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoon ec) (Note: Loton plan details may be obtained from titte 9 documents, a ‘Rate’ notice, or from the focal govemment.)

 

 
 
 

 

    

 

 

 

 

 

 

 

 

 

     
 

 

       

 

"> ” Street ‘Address; eg bot, onplan:description] |.
~ | Plan: type yang?
: s ie Nr ano sub wih naz | Plan Number.) ae
| { 13 Grant Street, Noosa Heads 4567 13 $P179879 Sunshine Coast Regional Council
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.g. channel dredging in Moreton
Bay) etc.)
poss" os. {Coordinates “ noe “
PS : separaterowy. : ‘Zone : Local goverment aféa,
stig: =f f A : Long de. | Refere nce eh ~ (If sam
1 (J vepass
(J weses
(C) 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 characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)