09/1682 - Multiple Housing Type 1 - Relative [As Published] · 132009.1682

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4 INTEGRATED PLANNING ACT 1997

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First name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BRUCE

 

 

 

 

 

 

Postal address

 

PO. Box 148:..

NOOSA - HEADS SSCP

 

Contact telephone ri umber

 

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(ERA), complete Table A ‘only. Then g 9 to a2

 

 

 

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te Table B Street: address for, the | premises ( applicable box/es below andi insert property description i in the table. {dentify each iot i ina separate row. ).
idress i lot on plan for the premises (Appropriate for most Leppkiéatons’ including building applications); oF

a 0 Street: ‘address fot on plan for the land adjoining or adjacent

to the premises (Appropriate for developnient in water e.g. jetty, pontoon
a ete) (Noté: Lofon plan details may be obtained from title documents, @

‘Rate’ notice, or from the local government)

 

 

   

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Cc Coordinates andlor a ‘map.

of the premises (Appr fr dove i rie are’ over part ofa in water

 

No |. inet * Street Name and ofl esbrecaty name : TR Lot No. Fin ipo Logan, Cains)
1 of #9 BLANCKENSEE ROAD | 0 [RP 108FBO | ase condt
BLACK MOUNTAIN (| [Poach of Tuchebor - pesrenlAL COONCIL|
Coorhy FMancH
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