0015CF9E.001

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                 INTEGRATED PLANNING ACT 1997                                                                                         Form 2, Version 3.1, 18 November 2005
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                                  .           Form 2 Development Application                                                                                  laas

                                                                              ting              app                           al
                Description of land                         1.   Street address ¢ncluding house number, street name, suburb/locality name & postcode) {if applicable    |
                 All land the subject of the application must be |   8      SELENITY                  CLOSE,           NOOA           HEADS,           QLd 4967
                 identified.          :                                                                                                           -
                 Advice for completing Qi        .          2.    Number on existing development permit or             3.    Date issued:       ;
                 A one ipfon one land is not required in      _   preliminary approval sought to be changed:
                  eivronmentalycelevant acy.                  |                                                  ;          [ 31 AUGUST 2608 |
                  environmentally relevant activity. ,    ‘      .              2206 OF (2.3117 TAY                             3 !     AvauUsST 200°
                  Advice for  completing QZand@3            4.    Name of water body    or watercourse, within which the development is proposed: (if        applicable,
                  Provide the information from the existing                                            :          7
                  approval that isthe sujec ofthis request for |
                  change     *                    .                                    .                                      .
                  Advice for compteting Q4                  5.    Loton plan description (eg. Lot 123 on RP 4567)/GPS coordinates
            .     Q4 appties if development is praposed in a        LOT          &     ON         SP     ) 0006
                 | water body or watercourse                                          oo,                                                           .
                 | Advice for completing Q5                 6.    Wat description is for: (tick applicable 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 CJ (ii)  the land adjoining the water body or watercourse, within which the development is
                  title documents or through the local                     proposed; or
                  government.     .                                    .             '                                                  ‘        ,
                  However, if the land on which the development | C1 (iii) the water body or watercouss9
                  eect fo he atvelopmentis propose dint           Shop /tenancy    puarmieme  Bo bia) \ iy              8.    Storey / level: (if applicable
                             .e.                                         -   ae      mS ts ta Y . 4       .               [es
                  a water body or watercourse) -                  P A C NI A a               Py G \\ \ \ 1                         4-
                  (i) provide the lot on plan description for the           - a " ae           3
                     adjoining/adjacent land; or                                AS Ee
                  (ii) provide GPS coordinates where there is no                                      °
                 :    adjoining/adjacent land (i.e. in Moreton                                                                                                           }
                 i    Bay).
                 Aasice for com: ’ tina G8        ti         9.   Total area of land: (m/ha)
                  proposed within a water body or watercourse        a LES Vy 2                          _      Ss    Obl-m+         H ICH     PENSTTY ZONE] D).
                      oced within 2 waterbody or wae              PaAuUES m2                               (CS HObm? HIGH Density zona
                      ;                                                                            a.                a                                                   j
                 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            ;                                                      .
                  Tial areas are below high wat
                 {ea areas are below high water mark and are               NOOSA              S Ht IRE               :
                  not within a local government's area.                                               .
                  Adviceforcompleting@it       —             11.  Port authority for the strategic port land or strategic port land tidal area on which the
                  Q11 only applies if development is proposed on} = davelopment is proposed (eg. Port of Brisbane, Port of Townsvill) (if applicable,
                  strategic port land or a strategic port land tidal :
                 [area                                                                                                                                                   |
                  For more information refer to Guide +4                                                  ‘                                       :     ‘
                  Development on strategic port land
                  Note: These details will be included in the                                                                                        .            :
                  Ofiginal decision notice for the approval you                                           :
                  F now wish to modify.     .                                                          :                                          ;                                   .