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[Sunshine Coast                       Checklist - Applications Involving Land
   egicnal    Counc!                                                                  °
    g                                 Development & Land Use Sections
                                      IDAS APPLICATION
    This checklist should be used for any IDAS application. Please check each of the following items before accepting an
    application at the counter.
    1.    APPLICATION FORMS
           1.1.  Form    PartA
                 4.1.1. Ensure that the form is fully completed and is a current version.                           [vy
                 4.1.2 In the case of an MCU or Op Works below the high-water mark, owner's consent is required.
                        1.1.2.1  If there are multiple owners, the consent of each owner is required.
                        1.1.2.2  If the owner of the land is a company, either ACN No, Company name clearly indicated by
                                 signatory) or Company Seal required.
           1.2.  Form1 Part B-R Supporting Information
                 1.1.2 Ensure that for each box checked on Form A, the relevant additional Forms B-R are attached. [4
                        1.4.2.1  Ensure that each of Forms B-R which are attached are fully completed.              [7]
  - 2.   “IDAS   ASSESSMENT CHECKLIST                             an        —~            we         oO           Se
           2.1   Ensure that relevant sections have been checked and/or completed with regard to referrals          [7]
           2.2   Ensure correct parts of Form 1 are provided where required (ie most common are Part J for
                 Clearing Vegetation, Part N for Contaminated land and Part P for Prescribed Tidal Works)            [=]

    3.     ENVIRONMENTALLY RELEVANT ACTIVITIES
           3.1.  Ensure that Part G is completed if EPA referral is required.
           3.2   Where EPA is delegated to Council (see * in ERA checklist), ensure that the correct application
                 fee is paid and recorded on the application. (Refer Environmental Health for fees)
                                                                        %
    4,     FORM 2 - REQUEST TO CHANGE APPROVAL                                          .
           4.1.  Ensure that relevant items have been checked and/or completed including information regarding
                 applicant details along with owners consent if not current owner of land as shown on Council records.
                  If over multiple properties on one or more sites, consent of Body Corporate is required.
    5.     PLANS                                   ,               .
           5.1.   Ensure that generally at least 6 sets of the Plan of Development (5 for Reconfiguration and Operational
                 Works) accompany the application. In addition ensure that each set is complete.                         2
           5.2    fnsure that 1 of the copies of the Plan of Devetopment is in an A3 or A4 format and is            [7]
                  unbound.
    6.     SUPPORTING INFORMATION                                                                                        °
           6.1    Ensure that generally at least 6 copies of any report accompanies the application (5 for Reconfiguration 6 |
                  and Operational Works). If the application is accompanied by a covering letter, ensure that it is
                  capable of reproduction. -        .                                                                 [ 7
           6.2    _In the case of reports, ensure that 1 of the copies is in an A3 or A4 format and is unbound.
           6.3    Additionally an electronic version is preferred where possible for ease of electronic record keeping [ -]
    7.     FEE                                                                                                     \
           7.1    Ensure that the application fee, as determined from the Council’s adopted scale of fees,
                  accompanies the application or has been paid.                                                      Lut

     *   Land Use MCU applications; MCU applications including a Lot reconfiguration; Prescribed Tidal Works, Operational
      -  Work if Jetty or if including Landscaping.                                             .
     «   Land Development Lot Reconfiguration applications and Operational Work not including Landscaping
     Please DO NOT leave the application at the counter and DO NOT deliver the application to Records.

     NSC g:\landuse\administrative processes\application checklist.doc
Full text of the other 31 sections

Section 2

-             ae iT
                                          |                                                         COMMENT
           IDAS REFERRAL AGENCIES TRIGGERS (Most frequent referrals)                  TB      fick         —
           Please refer to IDAS Checklist for complete list

           Department of Main Roads (Concurrence or Advice)
               e   State Controlled Road
           Dept Natural Resources & Water
               e   Acid sulphate soils (Advice)
               e   Clearing of native vegetation on freehold land (Concurrence)
           Environmental Protection Agency (Concurrence)
               e   Environmentally Relevant Activity (for non-devolved Council as EPA)
               e   Contaminated land
                       *   Environmental Management/Contaminated Land Register
                       ®   UXO
,                      *   Land recently used as a ‘notifiable activity’
                       «   Industrial land changed to sensitive uses (eg school)
               e   Coastal related development.
               e   Koala habitat
               e   Wetlands   (Advice onl
           Queensland Transport (Concurrence)                            ,
                    °      Railway
                    °     Public Passenger Transport
           Energex or other responsible entity (Advice)
                    °     Electricity Easements/Substations
           DIP (Concurrence)
                    .     SEQ Regional plan
           VARIOUS                                 ‘                 t
                    «     Conservation estate (Advice)
           OTHERSTATE AGENCIES+TRIGGERS.                                 cents      oll  cot ae dtl ee op   oe gk

           OWNER’S CONSENT (State land).        9) 8       Seg            Ee
           Department of Natural Resources and Mines                               =                      ~~
           EPA                       .

       For further clarification refer to IDAS Guides prepared by Department of Infrastructure & Planning.

       NSC g:Manduse\administrative processes\application checklist.doc

Section 3

Our Reference: 01019 Lo1 MK                                                   roe,

   20" November 2008                                  LLL                        consu Iting Oo
                                                                        \                     pty Itd
                                                       cCEWED          o         town planners +
                                                     Rev        2008             urban designers
   Chief Executive Officer                            20 Nov             >
   Sunshine Coast Regional Council                              7 anan
   Tewantin Qid 4565                           Re        ront CO”
   P.O. Box 141                                       Suey” counter
   ATTENTION: ENVIRONMENT AND PLANNING DEPAR rae
   Dear Sir/Madam
   RE:    APPLICATION FOR DEVELOPMENT PERMIT FOR MATERIAL CHANGE OF USE OF
          PREMISES FOR A ENTERTAINMENT AND DINING BUSINESS — TYPE 1 FOOD AND
          BEVERAGES (COFFEE SHOP) AND ADDITIONAL OUTDOOR DINING AREA AT
          TENANCY 7, CORNER OF THOMAS STREET AND GYMPIE TERRACE, NOOSAVILLE
          DESCRIBED AS LOT 6 ON SP191716

   Please find enclosed a development application for the above proposal which has been prepared in
   accordance with the Integrated Planning Act 1997 and lodged with your Council as the Assessment
   Manager of this application.
   The attached development application includes:
             *  six (6) copies of the Proposal Report and associated proposal plans;
             *  acompleted IDAS application Form 1 Parts A, D and Checklist; and
             *  a cheque for $3400.00 which is understood to be Council's application fee as the
                Assessment Manager.
   Please contact our Noosa office if you require any further information and/or clarification.

   Yours faithfully

       KHZ, oto
   Nadine Gorton
   Senior Planner
   martoo consulting pty Itd
   Enc :(11)

SUNSHINE COAST OFFICE                                   GYMPIE OFFICE
1/199 GYMPIE TERRACE NOOSAVILLE - PO BOX 1684 NOOSAHEADS Q 4567 1/28 REEF STREET GYMPIE - PO BOX 391 GYMPIE Q 4570
TELEPHONE 07 54555425 - FACSIMILE 07 54555725           TELEPHONE 07 54827440 - FACSIMILE 07 54824952
[email protected]                               [email protected]

Section 4

INTEGRATED PLANNING ACT 1997                                                                                           Part A, Version 3.1, 3 March 2008
                         Form 1         Development Application                                                                    idas
                                                                                                            LA          PO KS
                                                                                                                         ©)            e
                                                                                                                    cor
                                                                                          .                       Re"                    ,
                                                      C                       detail                                       Sr          e®
                                                          ommon                   aetalis                             O08
                                                                                                                       -      _   NS    get
       ;                              irected               icular question. Ref           d of the form for                 Sa     ti
  OTE: Answer all questions unless directed to go to a particular question.  Refer to the end of the form for‘advice,on hang     te e    thisfo
‘Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. yp is-tespensibie¥or engtiring the |
information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any refettsla ddicies hoes asaiiig and
‘deciding this application. By lodging this application, the Applicant incurs the obligations and responsibiities prescribed by the IPA. Any develop permit or preliminary
approval that may be issued as a consequence of this application will be issued to the Applicant}
    Company/organisation name (if applicable) |Widewaters Investments Pty Ltd
 Individual applican/Contact person (if there is more than one applicant, provide additional applicant details on an altachment to this form)

    Postal address                  C/Martoo Consulting Po Box 1684 NOOSA HEADS Q 4567
    Contact telephone number        [5455 5425                             Mobile phone number           [
    Facsimile number                5455 5725                              e-mail address                   [email protected]

‘Details of the premises (ie. the land 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 identify the premises)
 Table A   [f the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.
fd                                  Name of each local government area in which the mobile and temporary ERA is proposed to operate                  ]
      Oe
 OR
 TableB    Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
        (i)  x] Street address / lot on plan for the premises (Appropriate for most applications including building applications); oF
        (ii) [_] Street address Alot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
                 pontoon etc) (Note: Loton plan details may be obtained from title documents, @ ‘Rate’ notice, or from the focal govemment.)
                                              Street Address                        ~~ | Lot on plan description                  a
                    Una | Street                                                                  Plan fype and   Local government area (e.g. Logan,
                                   Street Name and official suburbfocality name                                                Caims)
         CTT |                  [ererenerercan Tima Seatiooos [ie                     [s      [ar [SeaieGamewtors
  AND/OR
  Table C   Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a tot, in water (e.g. channel dredging in Moreton
            Bay) etc.)                                                                                                                     ‘
                                             Coordinates                             Oo                                         On
                               (Note: place each set of coordinates in @ separate row)  Zone                              Local government area

                                                                                                 LJ ocpae4
                                                                                                 ) wese4
                                                                                                 [__] 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)

Section 5

INTEGRATED PLANNING ACT 1997                                                                                                 Part A, Version 3.1, 3 March 2008
Table 0    Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, fake, canal)
                                                            Name of water body, watercourse or aquifer (if known)
             a
Table E    Complete if the premises are on Strategic Port Land under the Transport infrastructure Act 1994
                              Lot on plan description for strategic port land                                 Port Authority for the lot                    |
               as
Table F    Complete if the premises are in tidal water
                         Name of local government for the tidal area (if appicable)             Name of port authority for the tidal area (If appicable)

3.     Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)
                              Total area of premises                      -
     47,30                [X] m? [_] hectares       (Tick applicable unit)

 Existing use of the premises
—
4,     Current use/s of the premises: (e.g. vacant land, house, fownhouses, apartment building, shop, service station, school, sugar cane farming etc.)
                   Shops, restaurant and unit
 5.    Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?
     L] No         x Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
‘Proposal details                                                                                                                                            ]
el
 6.    Brief description of the proposal (e.g. 6 unit apartment building, 30 Jot residential subdivision, a bore, aquaculture)

 Coffee shop and outdoor seating

 7.    Does the poposal include new buildings or operational work (including any services) on the premises?
       [IX] No     [_] Yes - Ensure the nature, location-and dimensions of the proposed works are included in plans, submitted with the application
‘Resource entitlement {if applicable) - further information is provided in the advice section at the end of the form
 8.   Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the appiication
      involves State land {leased and freehold), dectared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)
       &X   No - Goto Q9       C] Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
                                            allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.
 ‘Owner's consent (if applicable} - further information is provided in the advice section at the end of the form                                             ]
 9.   Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
      not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
      Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.
                           Premises Owner's name/s                 Details of the premises owned                           .       *        Date consent |
 Table H                       and postal address               (street address or fot on plan description)     Owner's signature           was obtained

  * Owners signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
   attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
   company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .
  Attachments and supporting information (Complete Table | - Use a separate row for each type of attachment or information, including information required
 lunder this Part} Please ensure all documentation submitted with this form, including other Parts of Form 1, or owner's consent, etc, are securely attached to this Part of the Form.
  rable                   a etn fatter iors                                  cn         tl apts                                        Meta of      ey |
                               ‘art C of Form 1, owner's 4   nce
                            O  Sloctcnlanttoras mt, plans, drawings, reposts) (2.9. General Authority, James StreetTraffic Report)     assessment manager .

                apo

Section 6

INTEGRATED PLANNING ACT 1997                                                                                           Part A, Version 3.1, 3 March 2008

‘Portable Long Service Leave (PLSL) levy (Applicable for certain building and construction work valued over $80,000 only)                            }
 10.  The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
       {_] the application seeks a preliminary approval only;
       [X] the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
            Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
            farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
            regrowth, thinning vegetation or controlling weeds or pests);
        [_] all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
       [_] the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
            Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
            sighted by the assessment manager before a development permit can be given.

 11.   Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?
          DX]   No - End of Part A
          [_]   Yes - Answer Q12 below
 OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)
                                    .            ,             Receiving officer's                                Reference
  Fee (8)! 3 peo | Date received | Do | uley                          name            p) S   d        :            numbers      08 |     1A18

                                          NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER
To: fF                                         Fear         { have been engaged as the private certifier for the building work referred to in this application.

    Date of                   —_               ,                                                           ey                   a         ee

                  QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
                                                                       ,                                  Date receipted   ,
                        Description of the work    QLeave Project Number j Amount paid ($)} Date paid   form sighed by   Name of offer who sighted the
                  :            .                                                                            manager
            Ato
  Privacy Statement
  The information collected on Form 1 will be used by the Department of infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
  Your personal details will not be disclosed for a purpose outside of the IDAS process, except where required by legistation (including the Freedom of information Act 1992) or as
  required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.
  Advice for completing Part A
  General advice
  °         Part A of IDAS Development Application Form 1 must be completed and accompany all development applications. The applicant is responsible
            for answering all questions fully and correctly, unless following a response there is a statement to go directly to another question. The
            Assessment Manger may refuse to receive an application that is not properly made.
  e         The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the
            Building Act 1975 only, i.e. those applications requiring the completion of Parts A and B only.
  Applicant details
  °         If the applicant is a company or organisation, a contact person must be nominated. The applicant's signature is not required to be provided
            under the IPA.

Section 7

INTEGRATED PLANNING ACT 1997                                                                                             Part A, Version 3.1, 3 March 2008
Details of the premises
°         The term ‘premises’ is defined by the IPA, schedule 10 to mean a building or other structure, and land (whether or not a building or other
          structure is situated on the land). The term ‘land’ is also defined to include the estate in, on, over or under the land.
e          Details of the land are not required if the application invalves a mobile and temporary Environmentally Relevant Activity only. Instead complete
          Table A.
e         The premises may be identified in a number of ways —
           e Street address and lot on plan are most common and will apply to most applications.
           « Coordinates may provide the best means of accurately identifying the location of development proposed in waters, or on a relatively small
             development site distant from property boundaries on a large lot. Sufficient coordinates need to be provided to identify the boundary of the
             premises the subject of the application. Eastings and northings using GDA94 datum is preferred, but longitude and latitude and other
             (specified) datum such as Zone Reference or GS84 may be provided.
*          The definition of ‘water body’ and ‘watercourse’ can vary from Act to Act.
.          StrategicPortLandis within a local government area but a local government's planning scheme does not apply onStrategicPortLand.
           StrategicPortLandis declared under the Transport Infrastructure Act 1994, For further information go to IDAS Guide 11 (Development on
           strategic port land) and the Queensland Transport {Ports) website.
e          ‘Tidal water is defined in the Coastal Protection and Management Act 1995 (Schedule) and ‘tidal area’ for a local government and for strategic
           port land is defined in the IPA (schedule 10). Generally, the area below ‘high-water mark’ (defined by the Coastal Act in relation to high water
           mark at spring tides) establishes the boundary of a tidal area. Land below high water mark is not within a local government's area unless
           provided for under the Local Goverment Act 1993. Unless otherwise provided for by legislation, a local goverment has no jurisdiction below
           high water mark. A tidal area for strategic port land is within the jurisdiction of the relevant port authority, while the Environmental Protection
           Agency generally has jurisdiction for a local government tidal area. However, the IPA gives local governments jurisdiction for assessing and
           deciding applications for prescribed tidal works within the local government tidal area, and the planning scheme may be applied to that
           assessment (to the extent provided for in the cade for prescribed tidal work).
Resource entitlement
«          Section 3.2.1(5) of the IPA requires evidence of resource entitlement be given for applications if they involve taking or interfering with a
           prescribed State resource. Schedule 10 of the Integrated Planning Regulation 1998 (IPR) prescribes the State resources, including State-
           owned land, where evidence is required to be given, and the evidence required to support the application. Link to Integrated Planning
           Regulation. Section 3.2.1(10)(a)(ii) states an application cannot be taken to be properly made without the required evidence.
°          For applications involving the taking or interfering with water under the Water Act, the development application may be made at the same
           time as the request for resource entitlement, and the Department of Natural Resources and Water will accept the application as properly made.
 ®         For State-controlled roads, a resource entitlement is not required for an activity that is exempt ancillary works or encroachment (identified by
           gazette notice under the Transport infrastructure Act 1994, section 50), or if the activity requires referral to the Department of Main Roads.
 .         Evidence may be required from more than one Department responsible for a State-owned resource, e.g. from the Environmental Protection
           Agency for quarry material below high water mark, and the Department of Natural Resources and Water in relation to the State-owned land
           above high water mark.
 Owner's consent
 e         Section 3.2. 1(3) of the IPA prescribes that an application must contain, or be supported by, the written consent of the land owner/s, if the
           application involves: a material change of use; reconfiguration of a lot; work on land below high-water mark and not within a canal as defined
           under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the Transport infrastructure Act 1994.
 e         Evidence of this consent may need to be provided before the application will be accepted as properly made by the Assessment Manager, during
           the processes of the application or in the event of an appeal about the outcome of the application.
 e         “Owner for the purpose of a lodging an |IDAS development application means the person at the time of lodging the application, entitled to
           receive the rent for the land (or would be entitled to receive the rent for it if it were let to a tenant at a rent).
 °         Templates are available from the [PA website for the provision of owner's consent as an attachment to this form. However other decumentation
           may be used for providing owner's consent provided it is clear the documentation relates to the development application for the premises.
 .         Owner's consent, if required, must be provided even if the applicant is the owner. Owner's consent is not required for a mobile and temporary
           ERA.
 Portable Long Service Leave (PLSL) Levy
 e         The Building and Construction Industry Portable Long Service Leave Scheme provides long service leave entitlements to workers in the building
           and construction industry who would be unlikely to accrue enough service with one employer to qualify for long service leave. To fund the
           scheme, a Portable Long Service Leave Levy (PLSL levy) is collected on certain building and construction work carried out inQueensland.
 s         The PLSL levy amount and other prescribed percentages and rates for calculating the levy are stated in the Building and Construction Industry
            (Portable Long Service Leave) Regulation 2002. Included in the amount collected by QLeave is the Workplace Health and Safety Fee and the
            Building and Construction IndustryTrainingLevy.
 °         The Building and Construction Industry (Portable Long Service Leave) Act 1997 (PLSL Act) defines the building and construction work subject to
            the PLSL tevy and includes renovating, relocating, constructing, altering, demolishing, maintaining or repairing buildings, pools, roads, jetties,
            pipelines, fences or earthworks, and works for subdividing, irrigating or draining land.
 e          The PLSL levy need not be paid when the application is made, but the PLSL Act requires the levy to be paid before a development permit may
            be issued.
 a          The Assessment Manager must sight an approved form issued by QLeave advising of the status of the payment of the PLSL levy. Building and
            Construction Industry Notification and Payment Forms are available from anyQueenslandpost office or agency, on request from QLeave, or can
            be completed on the QLeave website at www.gleave.qld.gov.au. For further information contact QLeave (Tel: 1800 803 481 Web:
          www. dleave.qid.gov.au }

Section 8

wv
          INTEGRATED PLANNING ACT 1997                                                                                   Part D, Version 3.1, 3 March 2008

                                                                               A      A                                             ‘ a
                                 Form 1        Development Application                                                              IGAS
                                                                                                                      we
                                                                 i      art           D                ~     ee           i?
                                                                                                      -             o         4
                                              Material change of use assessable ag pins                       ait        4S ‘or
                                                       :                                                2                           ‘
                                                                  planning scheme                         QS» Se yot              &)
                                                                           :                                        OT      ek
          Planning scheme identification                                                                     LiTe
         1.         How is the premises identified / zoned in the applicable planning scheme? (NOTE: if the premises involves muttiple zones clearly identify the
                    refevant zone for each lot) - provide details for each lot on a separate row
                             -            Lot description         ,             .              .             t          a,                       ,
                                                                            Applicable zone /precinct /area              Applicable overlays
                            Lot 6 on SP 191716                         Visitor Mixed Use                       Natural Hazards: Landslide/Flooding
                                                                                                               Natura! Hazards: Bushfire and Acid

        ‘Nature of the proposed material change of use (MCU) :                                      ees
          2.        How is the proposed use/s defined in the applicable planning scheme?
                            Rane                                   ‘Planning scheme definition (include each | No. of dwelling/ |Days & hours of] No. of
                            General agi        gine reposed use       definition in a new row or on attached tenancy units  operation      employees
                                       18. in y                           documentation if applicable)     (if applicable)  {if applicable) | (if applicable)
                             seating
          3.        What type of approval is being sought?
                     [X] Development Permit                [_] Preliminary Approval               [_] Both (Provide details below)
          4,        Are there any current approvals associated with this application for the change of use of the premises? (e.g. a Preliminary Approval for
                    the use }
                     [-]No       [&] Yes - Provide details for each associated approval on a separate row
                                 ——              List of approval reference/s                         Date approved     Date approval lapses (if known)

         5,         Does the proposed use involve:
                  (i)        the reuse of existing buildings on the premises                             [_] No         Dx] Yes - Complete Table A
                  (ii)       new building work on the premises                                           [x] No         [_] Yes - Complete Table 8
                  (iii)      the reuse of other existing operational works on the premises               [Xx] No        [_] Yes - Complete Table C
                   {iv)      new operational work on the premises                                        [x] No         [_] Yes - Complete Table D
                   Table A |Ezisting for area
                               Existing site cover

                               Existing maximum height above natural ground tevel

Section 9

~
       -
                INTEGRATED PLANNING ACT 1997                                                                                           Part D, Version 3.1, 3 March 2008
                EF aS a                                                                                                                     ey a   A
                ‘Mandatory Infermation
a ry
                6.         Confirm that the following mandatory information accompanies this application:
                                                                                                                       }   Confirmation of      Method of lodgement
                                                                                                                             lodgement                                i
                For all applications                                                                                                                                  |
                (i)  Plans showing the nature and location of the proposed use on the premises and a statement about the
                     intensity and scale of the proposed use (e.g. number of employees, days and hours of operation, number of visitors, xX] Confirmed over the counter
                     number of seats, capacity of storage area)
                When the application involves reuse of existing buildings                                                                                             |
                 (ii) Plans showing the size and location of the buildings to be reused                                 [X]   Confirmed
                                                                                                                                       -      over the counter
                                                                                                                        [_]   Not applicable
                When the application involves new building work                                                 ,             -                                 :     |
                 {iii} Plans showing the size and location of the proposed new building work                            [_]_  Confirmed         ~
                                                                                                                                       -      over the counter
                                                                                                                        {X<]   Not applicable
                 When the application involves reuse of other existing works
                 (iv) Plans showing the nature and location of the works to be reused                                   XX]   Confirmed
                                                                                                                                       -      over the counter
                                                                                                                        []     Not applicable
                 When the application Involves new operational work:                               i”       °      oe               “—           oo
                 (v) Plans showing the nature and location of the proposed new operational works                       C]     Confirmed
                                                                                                                               Not applicable

                  OFFICE USE ONLY

                 Advice for completing Part D
                 General advice
                 e         Part A must also be completed for all IDAS development applications.
                 .         The applicant is responsible for answering all questions fully and correctly, unless following a response there is a statement to go directly to
                           another question.
                 *         When paying fees to the Environmental Protection Agency by electronic funds transfer (EFT) for coastal development applications, use the
                           process from the information sheet Electronically paying fees to the Environmental Protection Agency (EPA) and,securely attach the form
                           Electronic Funds Transfer (EFT) payment notification to this application.
                 Q3        A development permit authorises development to occur. A preliminary approval is a step in the approval process and does not authorise
                           development to occur - a subsequent application for a development permit must be sought.
                 Table D   If the MCU application involves operational work that is the building of a retaining wall on the premises, the application is taken also to be for the
                           operational work if approval for the operational work has not been applied for in this application or in a separate application.

Section 10

INTEGRATED PLANNING ACT 1997                                                                IDAS Assessment Checklist, Version 21.3, 9 May 2008
                      Form 1        Development Application                                                            idas

                               Assessment                                 Checklist

IDAS Development Application Form 1 is the approved form for all development applications under the Integrated Planning Act
                                         1997 IPA). Form 1 is made up of various Parts.
 Part A (Common details) of Form 1 must be completed for all applications. The relevance of other Parts of Form 1 depends on
                                                  the nature of the application.
  Form 1 also includes this IDAS Assessment Checklist, which is used to assist in determining State assessment and referral
                                requirements, and the Parts of Form / relevant to the application.
      Section 1 and all other relevant sections of the IDAS Assessment Checklist, as identified in the Table below, must be
 completed for all development applications except those proposed on land in an urban develapment area, or for building work
                                    requiring assessment against the Building Act 1975 only.
   For more information about development applications on land in an urban development area, refer to www.ulda.qid.gov.au.
                      For more advice about building applications refer to Part B of the IDAS Application Form.
Answering the following questions will assist you in determining which sections of the checklist must be completed for your application. If
unsure, phone or visit your local government or log onto the DIP website www.dip.gid.gov.au for help
 For all IDAS development applications (except those for building work requiring assessment against the Building Act 1975 only) - complete Section 1 of this
 checklist
 Does the application seek approval to materially change use of the premises?                                           yes   ICJNo
 ff yes - complete Section 2 of this checklist                                                                        S
 Does the application seek approval to reconfigure a lot?                                                            Ces      |fNo
 ifyes - complete Section 3 of this checklist and Part F of IDAS Application Form 1. Assessment is by the loca! government.
 Does the application seek approval to carry out operational work?
 ifyes - complete Section 4 of this checklist                                                                        Li Yes   |No
 Does the application seek approval to carry out building work requiring assessment against the Fisheries Act 1994?  Ces         No
 if yes - complete Section 5 of this checklist                                                                                 -
 Have you received a referral agency response under section 3.3.2.of the IPA, in relation to this development application?
 if yes - complete Section 6 of this checklist.                                                                      CJ Yes   |[X)No

 Does the application seek approval to carry out building work requiring assessment against a local government planning
 scheme?                                                                                                             C1Yes    |K)No
 if yes - complete Part E of IDAS Application Form 1. Assessment is by the local government.
 Does the application seek approval to carry out building work requiring assessment against the Building Act 1975?
 if yes - go to Appendix 1 of this checklist for advice an building referrals. Complete Part B of IDAS Application Form 1. L1Yes |KINo
 Assessment Is by a building certifier
 SECTION               Section 1 must be completed for all applications that require completion of the IDAS Assessment Checklist.
 ‘HERITAGE                                                                          ,
 1.1A      Is any part of the proposal intended to be carried out on a Queensland Heritage place under the Queensland Heritage Act 1992?
             [DX] No-Gote1.18     [_] Yes
            IPA, schedule 8, part 1, table 5, item 2: IP Regulation, schedute 2, table 1, tem 11, table 2, item 18; IPA, section 1.3.5 (Definitions for terms used in devefopment).

Section 11

INTEGRATED PLANNING ACT 1997                                                                         IDAS Assessment Checklist, Version 21.3, 9 May 2008
1.1B      Does the proposal involve development, other than development mentioned in the Integrated Planning Act 1997 Schedule 9
          (development that is exempt from assessment against a planning scheme), that is intended to be carried out on a place entered in
          a Local Heritage Register under Part 11 of the Queens/and Hentage Act 1992?
             &®  No - Goto 01.2       [| Yes - (Complete Form 1, Part C,) This application requires assessment by the relevant focal goverment against the IDAS
                                                Code in tha Queensiand Heritage Regulation 2003. If the development involves building work and the local
                                                government is not the Assessment Manager for the application, the local government has jurisdiction as Concurrence
                                                Agency.
            IPA, schedule 8, part 1, table 5. item 24, schedule 9. tables 1, 2 3.4 45: IP Regulation. schedule 2, table 1, tem 114 IPA. section 1.2 5 (Definitions for terms used in development),
            Queensland Heritage Regulation 2003. schedule 2 (iD4S Code)
REMOVING QUARRY MATERIAL; WILD RIVER AREA                                  ~                                                                        |
1.2        Does the proposal involve removing quarry material from a watercourse or lake as defined under the Water Act 2000?
           [X] No-Gotoa13        [_] Yes
            IPA, schedule 8, part 1, table 5, item 1; IP Regulation, schedule 2, table 2, item 11; 1P Regulation, schedule 1, table 5, item 2 (wild river area); Water Act 2000,
            section 966C; Wild Rivers Act 2005, section 43A
ENVIRONMENTALLY RELEVANT ACTIVITY; WILD RIVER AREA
1.3        Does the proposal involve an environmentally relevant activity (ERA), other than a mining activity or a petroleum activity?
                No-Gotoo14        [_] Yes
            IPA, schedule 8, part 1, table 2, item 1; IPA, schedute 8, part 1, table 5, items 3 and 4, IP Regulation, schedule 2, table 2, items 1 and 23; Environmental Protection Act 1994, section
            TIAA {wild river area); Wild Rivers Act 2005, section 43A, relevant wild river declaration; Wild Rivers Code.
WITHIN THE LIMITS OF A PORT
 1.4       Is any part of the premises within the limits of a port under the Transport Infrastructure Act 1994?
           BX] No - Goto 01.5
           [_] Yes
            IP Regulation, schedule 2, table 2. items 15 and 16
 DECLARED FISH HABITAT AREA                                                    OF
 1.5       Does any part of the premises adjoin a declared fish habitat area under the Fisheries Act 1994?
           DX] No - Goto 01.6
           Cc) Yes - if answers to questions in other sections of this checklist indicate that the proposed development is assessable under IPA, schedule
                     8, this application requires assessment by the Department of Primary industries and Fisheries (DPI&F). if DPI&F is nat the
                     Assessment Manager for the application, the agency has jurisdiction as Advice Agency.
             IP Regulation, schedule 2, table 2, item 26
‘COMMUNITY INFRASTRUCTURE
 1.6       \s any part of the premises designated for community infrastructure?
           DX] No - Goto 01.7
          { | Yes
            IP Regulation, schedule 2, table 3, item 7
y+
 WASTE WATER MANAGEMENT
 1.7       Does the proposal involve the establishment or expansion of a waste water disposal system?
                 No -End of Section?   [_] Yes
             iP Regulation. schedule 2, table 3, item $

    ECTION 2. section 2 must be completed when the application seeks approval to materially change the use of premises.
 ‘PLANNING SCHEME
 2.4        Is the proposed use assessable under the planning scheme?
            C] No - Go to 02.2            Yes - Complete Form 1, Part D and answer Q2.1.1 - 2.1.13 below
                   If yes, does the application request that the proposal be assessed against a superseded planning scheme?
                     DX}No      (—] Yes- (Complete Form 1 Attachment 1)

Section 12

INTEGRATED PLANNING ACT 1997                                                                     IDAS Assessment Checkist, Version 21.3, 9 May 2008
  STATE-CONTROLLED ROAD                                                                                                 oe
ng pp EL
 2.1.1      Is any part of the premises located in part of a future State-controlled road, or within 100m of a State-controlled road?
            ClYes         [XjNo
                   If no, is the proposed use listed in schedule 5 of the Integrated Planning Regulation 1998 and does it exceed the specified
                   threshold?
                   [-]No — [_] Yes - This application must be referred to the Department of Main Roads (DMR) as Concurrence Agency.
            IP Regulation, schedule 2, table 3, items t{a) and 3
  ACID SULFATE SOILS                                        ne
  2.1.2     Is the use proposed in a local goverment area listed? ' in State Planning Policy 2/02: Planning and Managing Development
            Involving Acid Sulfate Soils?
            [-] No-Gotoa213        [xX] Yes
  21 Aurukun, Bowen, Brisbane, Broadsound, Bundaberg, Burdekin, Burke, Bumett, Caboolture, Cairns, Calliope, Caloundra, Cardwell, Carpentaria, Cook, Cooloola, Douglas,
  Fitzroy, Gladstone, Gold Coast, Hervey Bay, Hinchinbrook, Isis, Johnstone, Livingstone, Logan, Mackay, Maroochy, Maryborough, Mirium Vale, Mamington, Noosa, Pine
  Rivers, Redcliffe, Redland, Rockhampton, Sarina, Thuringowa, Tiaro, Torres, Townsville, Whitsunday
                     If yes, is the natural ground level of any part of the premises less than 20m AHD?
                     [_] No                [X] Yes
                          If yes, will the proposed use involve the following?
                             (i)  Excavating more than 1,000m3 of soil or sediment at or below 5m AHD                  J No       (Yes
                             (ii) Filling the premises with 1,000m5 or more of material with an average depth of     pq No        1 Yes
                                  0.5m on land, soil or sediment at or below 5m AHD
                              If yes to either or both (i) or (ii) above - This application must be referred to the Department of Natural Resources and Water
                              (NRW) as Advice Agency.
             IP Regulation, schedule 2. table 3, item 4; Siate Planning Policy 2/02: Planning and Managing Development involving Acid Sulfate Soils. section 3.6
  COASTAL MANAGEMENT DISTRICT                                                                                                                   4
  | ee                                                                                             ee ee              a a ee
  2.1.3.    Does the proposed use involve the following?
               (i)   Carrying out operational work, completely or partly in a coastal management district            4 No         C Yes
               (ii) Carrying out building work, completely or partly in a coastal management district, thatisthe     5] No        C1 Yes
                    construction of new premises with a gross floor area (GFA) of at least 1,000m?
               {iii} Carrying out building work, completely or partly in a coastal management district, thatisthe    By No        (Yes
                    enlargement of the GFA of existing premises by more than 1,000m?2
                if yes to any one of (i) - (iii) above - This application must be referred to the Environmental Protection Agency (EPA} as Concurrence Agency.
                iP Reguiation, schedule 2, table 3, item 6
  \VEGETATION CLEARING
   2.1.4     Do the premises include a lot containing the following?
                (i)  Avcategory 1, 2 or 3 area shown on a Property Map of Assessable Vegetation (PMAV)               & No         LJ Yes
                (ii) If there is no PMAV for a lot, remnant vegetation                                                X No        LC Yes
                IP Regulation, schedule 2, table 3, item 17
   CONTAMINATED LAND - UNEXPLODED ORDNANCE
   2.1.5     \s any part of the premises in an area for which an area management advice has been given for unexploded ordnance?
             x] No - Go fo 02.1.6              L] Yes - (Complete Form 1, Part N) This application must be referred to the Administering Authority as Concurrence
                                                         Agency.
             IP Regulation, schedule 2, table 3, tem 72   9
   PUBLIC PASSENGER TRANSPORT
   2.1.6     Is the proposed use of premises listed in schedule 13C of the Integrated Planning Regulation 1998 and does it exceed the
             specified threshold?
              [X] No - Goto 02.1.7              {_] Yes - This application must be referred fo Queensland Transport (QT) as Concurrence Agency.
             !P Regulation, schedule 2, table 3, item 14

Section 13

INTEGRATED PLANNING ACT 1997                                                                    IDAS Assessment Checklist, Version 21.3, 9 May 2008
 RAILWAY SAFETY AND EFFICIENCY                                                                                                           ee]
  2.1.7 __ Is the proposed use of premises listed in schedule 13D of the integrated Planning Regulation 1998 and does it exceed the
           specified threshold?
            BX] No - Go to 02.1.8              [_] Yes - This application must be referred to Queensland Transport (QT) as Concurrence Agency.
            IP Reguiation, schedule 2, table 3, tem 15
KOALACONSERVATION              =                 oe                  RY
  2.1.8     Is any part of the premises in a koala conservation area or koala sustainability area?
            DX] No- Gotoo219       [_] Yes
            IP Regulation, schedule 2, table 3. item 18
 [EASEMENTS AND SUBSTATIONS                  OT                                                                                    I
  2.1.9     Is the use associated with reconfiguring a lot?
                  [_] Yes-Gotoa2110          (S<}No - Answer both (a) and (b) below
                    {a)        Wil any part of any structure or work that is the natural and ordinary consequence of the use, be located in an
                               easement?
                               BX] No- Goto (b)  [—] Yes   - Answer both (i) and (ii) below
                    {b)        ls any part of the premises situated within 100m of a substation site under the Electricity Act 1994?
                               Dx] No        [] Yes   - This application must be referred to the entity responsible for the substation as Advice Agency.
            IP Regulation, schedule 2, table 3, item 8 (elactricity easement}; IP Regulation, schedule 2, table 3, item 16 (pipeline easement): iP Regulation, schedule 2 table 3,
            item 9 (substation}
  RESIDENTIAL, COMMERCIAL OR INDUSTRIAL DEVELOPMENT IN A WILD RIVER AREA                                                                  —
  2.1.10    Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?
             [X] No -Gotoa2111      (_] Yes
            IP Regulation, schedule 1, part 2, table 5, item (a); Wild Rivers code (Note: the code does noi currently contain applicable provisions for residential industrial or
            commercial development inside a designated urban area)
 WETLAND. OO™~C~=“‘SSS™T—— SS                                                                               ET
  2.1.11    Is the proposal only for the construction or use of a single residence on a lot and any reasonably associated building or structure?
             [_] Yes -Gotoa21.12     [x] No
                    If no, do the premises include a lot situated in, or within 100m of, a wetland shown on the ‘Map of referable wetlands’?
                        No       [_] Yes - This application must be referred to the Environmental Protection Agency (EPA) as Advice Agency.
             IP Regulation, schedule 2, table 3, item 20
  HERITAGE       ame           rm ope me                                NE in ee                        EEE      eh ESS RN     waa    ~         .
   2.1.12    Do the premises include a lot sharing a common boundary with a Queensland Heritage place under the Queensland Heritage Act
             1992?
                 No - Goto Q2.1.13   [_] Yes - This eppiication must be referred to the Environmental Protection Agency (EPA) as Advice Agency.
             IP Regulation, schedule 2, table 3, item 22
  (CERTAIN PRELIMINARY APPROVALS                                                                                                               7]
   2.1.13    Is preliminary approval sought for the application under the IPA, section 3.1.6?
                  No - Goto Q2.2     [_]  Yes - (Complete Form 1, Attachment 2) This application must be referred to the Department of Infrastructure
                                                and Planning (DIP) as Advice Agency.
             IP Regulation, schedule 2, table 3, item 23
  ‘BROTHEL ct owe          a                                  - o™      ~                                      ee”
  2.2        Is the proposed use a brothel as defined under the Prostitution Act 1999?
               [X] No -Gotoaz3       [_] Yes
               IPA, schedule 8, part 1, table 2, item 2; Prostitution Act 1999, section 64

Section 14

INTEGRATED PLANNING ACT 1997                                                                       IDAS Assessment Chechist, Version 21.3, 9 May 2008
                 ‘STRATEGICPORTLAND                   i (ti‘CSéC~:™S                  BE                                         OO         :                      |
                  2.3       Is any part of the use proposed on Strategic Port Land under the Transport Infrastructure Act 1994?
                             BX] No-Gotoaz4        [_] Yes
                             IPA, schedule 8. part 1, fable 2 tem 3. IP Regulation schedule 2, table 2. item 6
                 i JOR HAZARD FACIL Ty              Te                                                             im vat                                     vn ]
                  2.4       Is the proposed use a major hazard facility or possible major hazard facility under the Dangerous Goods Safety Management Act
                            2001?
                              xX  No - Go to Q2.5 C] Yes - (Complete Form 1, Part L) This application requires assessment by the Department of Emergency Services
                                                            (DES). if DES is not the Assessment Manager for the application, the agency has jurisdiction as Concurrence
                                                            Agency.
                             IPA, schedule 8, part 1, table 2, item 4; iP Regulation, schedule 2, fable 2, item 7
                        A                —                               - — -,    sihtr - eran   ihe “tesRASitieeh 1"? ~-SASAAShRSAt “RASA 8
                  CONTAMINATED LAND - REGISTERED LAND
                  2.5       ls any part of the land forming the premises on the Environmental Management Register or Contaminated Land Register under the
                            Environmental Protection Act 1994?
                             DX] No-Gotoa26        [_] Yes
                             IPA, schedule 8, part 1, table 2, item 5; IP Regulation, schedule 2, table 2, tem 22
                 CONTAMINATEDLAND-NOTIFIABLEACTIVITY                       =                                                  s—(—s—‘“—sSCS
                  2.6       ls any part of the land forming the premises currently used for a notifiable activity, or if there is no existing use was it last used for
                            a notifiable activity?
                                  No -Gotoa27       (_] Yes
                              IPA, schedule 8, part 1, table 2. item 6; IP Regulation, schedule 2, table 2, item 22
                 per renee nen:                                    wean     See see setting Se mt ena ae nnn ae                 neem                 wee
                  CONTAMINATED LAND - INDUSTRIAL ACTIVITY
                  2.7       ls any part of the premises currently used for an industrial activity (other than for a mining activity or petroleum activity), or if there
                            is no existing use was it last used for an industrial activity (other than for a mining activity or petroleum activity)?
                              &X] No -Gotoa28       [[] Yes
                             IPA, schedule 8, part 7, table 2, item §; IP Regulation, schedule 2, fable 2, item 22
            Sr                                                                         TT                                                         Se ae      marek
                  ICONTAMINATED LAND - AREA MANAGEMENT ADVICE (NATURAL MINERALISATION OR INDUSTRIAL ACTIVITY)                                                     j
[ee                                                                                                                                                       oe
                  2.8       Is any part of the premises in an area for which an area management advice has been given for natural mineralisation or industrial
                             activity (other than for a mining activity or petroleum activity)?
                              [X] No - Goto a2.9
                              [_] Yes
                              IPA. schedule 8, part 1, table 2. item 7; IP Regulation, schedule 2, table 2, tem 22
                  AQUACULTURE; WILDRIVERAREA
                   2.9       Is the proposed use for aquaculture as defined under the Fisheries Act 1994?
                             DX] No -Gotoa210      [] Yes
                              IPA, schedule 8, part 1, table 2, item 8; IPA, schedule 8, part 2, table 2, item 1 (self-assessable aquacutture); 1P Regulation, schedule 2, table 2, item 27
                              Fisheries Act 1994, section 76DA {wild river area); Wild Rivers Act 2005, section 43A
                   "AGRICULTURAL AND ANIMAL HUSBANDRY                ACTIVITIES IN A WILD RIVER AREA                                      ~
                  2.10       Is any part of the premises in a wild river area declared under the Wild Rivers Act 2005?
                              [X] No -Gotoa2tt     [_] Yes
                              IPA, scheduie 8, part 1, table 2, item 11; iP Regulation, schedule 2, table 2, fem 36 ; Wild Rivers Act 2005, sections 42, 43A
                  SEQREGIONALPLAN =                                                ———S—S                                                                          ”F
                   2.11A     Is any part of the premises within the South East Queensland (SEQ) Regional Plan area?
                             [_] No - Goto 02,178        Yes

Section 15

INTEGRATED PLANNING ACT 1997                                                                    IDAS Assessment Checklist, Version 21.3, 9 May 2008
                  If yes, are the premises within one or more of the following areas?
                   e   A Major Development Area in the Urban Footprint            KXINo    [() Yes - (Answer (a) to (c) below)
                   e   The Regional Landscape and Rural Production Area              No     [1] Yes - (Answer (d) below}
                   e   The Rural Living Area                                         No     [] Yes - (Answer (e) below)
                   e   The Investigation Area                                     {No       () Yes - (Answer (f) and (g) below)
           SEQ Regianat Plan 2005-2026. Amendment 1, Regulatory Provisions, division 2: 1P Regulation, schedule 2, iable 3. item 13; [PA. section 2.54. 12 (3)
STATE PLANNING REGULATORY PROVISIONS (REGIONAL PLANS)22.
2.11B     Is any part of the premises within a designated region under Schedule 1 of the draft regulatory provisions?
               No -GotoQ2.12 [_] Yes
           22 State Planning Regulatory Provisions (Regional Ptans) are the draft regulatory provisions
           State Planning Regulatory Provisions (Regional Plans), division 2; IP Regulation, schedule 2, table 3, item 13;!P Regulation, schedule 3A,
CONSERVATION ESTATE
2.12      Is the proposal for urban purposes, as defined under the IPA?
           [_] No -Gotoa213 [XI Yes
                 If yes, is the use proposed on a lot situated in, or within 100m of, any of the following?
                 (i) A protected area, forest reserve, critical habitat or area of major interest under the Nature
                     Conservation Act 1992                                                                            PjNo        C1 Yes
                 (ii) A State forest or timber reserve under the Forestry Act 1959                                    [<]No       (_] Yes
                 (iii) A marine park under the Marine Parks Act 2004                                                      No      [] Yes
                 (iv) Arecreation area under the Recreation Area Management Act 1988                                      No      [] Yes
                 (v)   A world heritage area listed under the World Heritage Convention                               —x]No       ([_] Yes
                 (vi)  Brisbane forest park under the Brisbane Forest Park Act 1977                                    X]No       [_] Yes
                 If yes to any one of (i) - (vi) above - This application must be referred to the chief executive under the relevant Act mentioned as Advice Agency.
            IP Regulation, schedule 2, table 2, tem 40
‘REMOVAL, DESTRUCTION OR DAMAGE OF A MARINE PLANT
 2.13     Does the proposed use involve the removal, destruction or damage of marine plants under the Fisheries Act 1994?
                No -EndofSection2      [_] Yes
            IPA, saction 3.2.24; IPA, schedule 8, part 1, table 4, tam & (assessable development); IPA, schedule 8, part 2, table 4, item 4 (self-assessable development}; Fisheries Regulation 1995
            S113A (self-assessabie codes);!P Regulation, schedule 2, table 2, item 29; IP Regulation, schedule 1, part 3, lable 4, item 8, Fisheries Act 1994, section 7608 (wild river area); Wild
            Rivers Act 2005, section 43A,
 Disclaimer:
     While the Department of Infrastructure and Planning (DIP) believes that this information contained on this form and provided as part of
     this process will be of assistance to you, it is provided on the basis that you will not rely on the information without first making your own
     enquiries regarding the interpretation and application of the applicable legislation to your circumstances.
     To the full extent permitted by law DIP expressly disclaims all liability (including but not limited to liability for negligence) for errors or
     omissions of any kind or for any loss (including direct and indirect losses), damage or other consequence which may arise from your
     reliance on this process and the information contained on this form.

Section 16

Company Owner’s consent to the making of
                       an IDAS development application
I,       ( WO     a Or           Cle meats                      (insert name in full),

                                  Director, AND
 I,   K oD       6 SKE R                                        (insert name in full),
                          on,            ?

            Ly) rt tor                                      (insert Company position
   in full — i.e. another director, or a company secretary — strike out above name and company
  position if not applicable, i.e. for a proprietary company that has a sole director who is also the
      sole company secretary, only that director needs to complete the owner’s consent),

                        of Widewaters Investments Pty Ltd
                      owner of premises identified as follows
Tenancy 7 at the corner of Thomas Street and Gympie Terrace Noosaville described
                             as 7/ Lot 6 on SP 191716
  consent to the making of a development application under the Integrated Planning
     Act 1997 by Martoo Consulting on behalf of Widewater Investments Pty Ltd
               on the premises described above for the purposes of
               an Entertainment and Dining business - coffee shop

      ‘a                                    .                 (signature of Director)
                              i/o                     (/
        Signed on the                   day of                     , 2008.
             J    Ly   / L—                  (signature of Director/ Company Secretary)

        Signed on the         (oO       day of       el            , 2008.
Company seal (if used)

Section 17

IDAS                   FLOWCHART                                                    I5                                      Sr Moy 25                      207

                                  For an application involving-                    *   Code assessment only                     *    Information request issued
                                                                                   *   No IDAS referral agencies

          ; IDAS Time frames                                                                                                       i                                                          i
          :             :                         10 b.aé                                   ‘          12 months?                  i            20 b.d*            °         5o.d.            é

                 Application                                        Assessment                             Applicant forwards                      Assessment                   manager
                        sy                                                                                      i                                                             Assessment
                    lodged &                                      manager makes                                Sanent      fo                       acsesees 8                   issu x
                              1                                  j        j                               assessment Manager
                   accepted                                        a       on    reques'!                                          4                  decides                   decision
                                                                 information request                                                                      .                         _
          i         i                                                                                                              i                 application                 notice
          ii        Application made      i                                                                                                                                                   c
          ii       available for public   i                                                                                        ;                                                          :

Note: b.d. = business days                                                                                                                          :
1 ifthe application is for a brothel, the assessment manager ntust provide the Prostitution Licensing Authority with a copy of the application and a
   written notice Stating whether the development application is required to be subject to Code or impact Assessment, within 10 business days after
   receiving the development application.
? If the application is in response to a show cause notice or an enforcement notice, the applicant will only have 3 mouths to respond to an information
   request.                     .
1 Each application and any supporting material must be kept availuble for inspection und purchase from the time the assessment manger receives the
   application until the end of uny appeul period or the application is withdrawn er lapses,
4 This period muy be extended
                                                                 .                                     Disclaimer
                                    ‘.                                                                 This document has been prepared for your infarmation. Whilst DLGPSR believes this information will be of assistance to you, it is
                                                                                                       provided on the basis that you are responsible for making your own assessment of the information provided. DLGPSR expressly
                   .          .                                  .                                     disclaims all liability Gacluding but not limited to liability for negligence) for errors or omissions of any kind whatsoever or for any loss
                                                                                                       (including direct or indirect losses), damage or other consequences which may arise from your retiance on the material contained in this
                                                                                                       document. This information is issued on the undertaking that DLGPSR is not, through the issue of this information, giving any legal or
                                                                                                       other professional service. Readers are encauraged to seek independem advice if they have any concems about lhe material cantained in
                                                                    .                                  this document

Section 18

PROPOSAL REPORT                              .
                                           -onsultinga
                      :   :        ~”   Bs towrtpfadners +
  Development Application         [y te wiiban delgners
                                  v4. 20 nov ae 7
  seeking a                      \As spect A
                                    <Or | te
  Material Change of Use of Premises for a
  Entertainment and Dining Business — Type 1
  Food and Beverages (Coffee Shop) and
  Additional Outdoor Dining Area

  at

  Tenancy 7, Corner of Thomas Street and
  Gympie Terrace, Noosaville

  described as

   Lot 6 on SP191716

  Applicant:
   Widewater Investments Pty Ltd
   Prepared: November, 2008           RO1019-01-A
SUNSHINE COAST OFFICE        GYMPIE OFFICE
Here Sena” 07 SasS5425 © PACSIILE 07 94508725 NAS 04907 TEN EHONE. OY SAB27440 FACSIMILE 07 54824052,
[email protected]    [email protected]

Section 19

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Section 20

Proposal Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shap)
                at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                SP191716, Parish of Weyba
Applicant:      Widewaters Investments Pty Ltd

1       Introduction
        This planning report has been prepared for Widewaters Investments Pty Ltd being the applicant of a
        development application proposing a Material Change of Use of Premises for Entertainment and
        Dining Business - Type 1 Food & Beverages (coffee shop) and an extension of the outdoor dining
        areas associated with the new ‘Davos’ development at the corner of Thomas and Gympie Terrace,
        Noosaville.
        Tenancy 7 on Lot 6 on SP 191716, Parish of Weyba is proposed to be utilised for a coffee shop with
        an additional 22 m? of outdoor dining provided along the Thomas Street frontage of the site. The site
        is located within the former Noosa Shire now known as the Sunshine Coast Regional Council.
        The proposed development of this site constitutes ‘development’ as defined by Section 1.3.2 of the
        Integrated Planning Act 1997.    This development application seeks a Development Permit for a
        Material Change of Use of Premises for an Entertainment and Dining Business - Type 1 Food &
        Beverages.
        The proposal is deemed an impact assessable development under the provisions of the Noosa Plan
        2006 and the Integrated Planning Act 1997.
        This planning report covers the following matters in order to assist the assessment of this
        development application:
         *   Section 2:   The basic details of the application as extracted from certain parts of the
                           application forms;
         *   Section 3:    A brief description of the subject site;
         *   Section 4:    A brief description of the locality surrounding the subject site;
         *   Section 5:    An explanation of the proposal;
         *   Section6:     An assessment of the proposal against the 2006 Noosa Plan; and
         *   Section7:     A conclusion that provides summary grounds, which support the approval of the
                           application as proposed.
         The Sunshine Coast Regional Council is the Assessment Manager for this development application.
         Any words or terms are shown in italic font in this proposal report, refer to either relevant state
         legislation direct quotes from this planning scheme as indicated.      Words in bold font refer to
         definitions as detailed by the Noosa Plan.
         The report concludes that the application is consistent with the provisions of the planning scheme and
         should be approved by the Assessment Manager.

 hi
    2 ~martoo consulting - Town Planning + Urban Design Consultants                                       2

Section 21

Proposal Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described os Lot 6 on
                SP191716, Porish of Weyba
Applicant:      Widewaters Investments Pry Ltd

2       Basic Information
        Basic information relating to this development application includes:

        Applicant:              Widewaters Investments Pty Ltd
                                C/- Martoo Consulting
                                PO Box 1684, Noosa Heads Qld 4567

        Address of Site:        Cnr of Thomas Street and Gympie Terrace Noosaville

        RPD of Site:            Lot 6 on SP 191716, Parish of Weyba

        Owners:                 Widewaters Investments Pty Ltd

        Area of Site:           46.5m* (tenancy 7) and 22m? of outdoor dining

        Current Use of Site: | Shops and Multiple dwellings

         Locality:               Noosaville Locality

         Land Use Zonings: _ Visitor Mixed Use

        Overlays:                Natural Hazards: Landslide/Flooding - 100yr Flood Event Inundation Area
                                 and Area subject to min floor height.
                                 Natural Hazards: Bushfire and Acid - High Potential Acid Sulfate Area

         Proposal:               Entertainment and Dining Business - Type 1 Food & Beverages (coffee
                                 Shop and additional outdoor dining area)

         Approvals Sought:       Development Permit for Material Change of Use of Premises

         Administering
         Authority:              Sunshine Coast Regional Council

         Referral Agencies: _ Nil                                                                                    |
                                                                                                                     :
         Existing Easements:     Nil                                                                                 |

         Consultants for
         Development
        Application:             Town Planners:          Martoo Consulting

  Fad
  i martoo consulting - Town Planning + Urban Design Consultants                                          3

Section 22

Proposal Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type ! Food & beverages (coffee shop)
                at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                $P191716, Parish of Weyba
Applicant:      Widewaters Investments Pty Ltd

 3      The Characteristics of The Site
         3.1.    Site Characteristics
         The subject site is located within the recently completed development known as ‘Davos’ located on
         the corner of Thomas Street and Gympie Terrace, Noosaville.         The areas the subject of this
         application include Tenancy 7 which is located on the ground floor overlooking Thomas Street and
         has an internal area of 46.5 m? and 5 areas for outdoor dining, which have a total area of 22m’.
         A map showing the location of this site is detailed below.
                                            |      as       Subject Site
       Lit                                          ol
       4 AS                               so

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         Tenancy 7 has been approved for use a shop as part of the original development approval for the site
         and its location is detailed in the plan below. Two existing outdoor dining areas are approved and
         located at the northern end of the site
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          3.2     Existing Infrastructure Servicing the Site
          The subject site is serviced by standard community infrastructure including reticulated water supply
          and sewerage, underground telecommunications, overhead electricity supply and associated street
          lighting, bitumen roadways and kerb and channel.

  *
  &3 martoo consulting - Town Planning + Urban Design Consultants                                        4
  a

Section 23

Proposal Report   Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                   at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                   SP191716, Parish of Weyba
Applicant:         Widewaters Investments Pty Ltd

          3.3       Existing Vegetation
          Existing   vegetation    on  the   site will  include   amenity    landscaping     as   required   by the     current
          development approval.

          3.4       Site Contamination

          The site is not on the Environmental Management Register, established under the Environmental
          Protection Act 1994 and to the best of our knowledge is not contaminated.

                                                                                                                                         ;

   *
   £2 martoo consulting - Town Planning + Urban Design Consultants                                                          5

Section 24

Proposal Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type ! Food & beverages (coffee shop)
                 at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomos Street and Gympie Terrace , Noosaville described as Lot 6 on
                 SP191716, Parish of Weyba
Applicant:       Widewaters Investrnents Pty Ltd

 4       The Characteristics of the Surrounding Environment
         4.1.    Description of Land Uses Adjacent to the Site and within the
                 Surrounding Area
         The site is located in an area that contains a mixture of commercial and residential uses. Shops and
         restaurants are typically located on the ground floor with offices located on the upper levels.
         Specifically existing uses that immediately surround the subject site comprise the following:
               To the north:                     Noosa River and foreshore area
               To the east (opposite the site): | Commercial uses - shops
               To the south:                     Commercial uses associated with the Islander Resort-
                                                 takeaway food premises
               To the west:                      Islander Resort unit development.

 5       The Proposal
         As indicated in Section 1 of this report, this application proposes the conversion of an existing ground
         floor tenancy approved for a shop into an Entertainment and Dining Business - Type 1 Food &
         Beverages - (coffee shop with greater than 10 seats) as well as five additional outdoor dining areas
         of 22 m*.
         The material change of use of premises is impact assessable development under The Noosa Plan.
         The proposed coffee shop fit out includes a food preparation area, espresso machine, drinks fridge
         and seating for a minimum of 25 persons inside the premises. The applicant also intends to utilise
         two exclusive use areas at the front of the premises for seating associated with the coffee shop.
         A further three outdoor dining areas are proposed along the Thomas Street frontage for use by the
         adjoining premises.
         No external works are proposed as part of the application with the conversion involving internal
         building works and fit out.
         Details of the internal fit out and the areas of exclusive use for outdoor seating are provided in
         Attachment A.

  *
  24 martoo consulting - Town Planning + Urban Design Consultants                                         6

Section 25

Proposal Report Proposed Material Change of Use of Premises far Entertainment and dining business - Type | Food & beverages (coffee shop)
                at Tenancy 7 ond Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                $P191716, Parish of Weyba
Applicant:      Widewaters Investments Pty Ltd

6       Development Assessment
        The Noosa Pian includes the site in the Noosaville Locality and provides the site with a Visitor Mixed
        use zone as detailed below.

                            :7  -       i

        ray |           |.   f     77  [Me      \
        i us ao             f                           [) Detached Housing
        v       tf          fy         r                LiSemi-Attached Housing
        ye      {|           a               ra         Cl Attached Housing
           A TF :          rj        A        ial}      LiVisitor Mixed Use
          Aa       re      i]        tar C |      (     Ci Business Centre
            i]         -   of                           f{_|Neighbourhood Centre
                   a                   Fi               EiShire Business Centre
          ]        hf               pws         a       [cemmunity Services
        b              :       ee ee      te            Citndustry
           it                       oo.     tes         | Rural
               aN =                a             :      'f ]Open Space Recreation
             is ” (Or                                   ;Clopen Space Conservation

        The Noosa Plan defines Entertainment and dining business - Type 1 Food & beverages as
        follows:
             Entertainment and dining business means the conduct of a business activity, where
             entertainment, amusement, recreation or meals are afforded. The term includes the following
             types:
             Type 7 Food & beverages
             The use of premises involving the sale of food and beverages for consumption on the premises.
             The use class includes a function room or restaurant or café with dining facilities for 10 or more
             people.
        The subject site is approved for shops in which a coffee shop can operate however the applicant
        seeks approval for seating greater than the 10 seats permitted under the existing approval.
        The assessment table for the Business Centre zone indicates that an Entertainment and dining
         business Type 1 is impact assessable development and is to be assessed against the relevant
         provisions of the entire Noosa Plan.

         6.1     Applicable Codes
         The codes identified in The Noosa Plan as being most relevant to the proposed Entertalnment and
         dining business Type 1 Food & Beverage (coffee shop) are the:
             -    Noosaville Locality Code;
              -   Business Uses Code;
              +   Landscaping Code; and
              -   Engineering Works Code.
         A comparison of the proposa! against the requirements of the Noosaville Locality Code indicates that
         the proposed use is consistent with the provisions of the Code.

  ia                           |
  22 martoo consulting - Town Planning + Urban Design Consultants                                       7

Section 26

Proposal Report   Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                  at Tenancy 7 and Additional Outdoor Dining Area at the corner af Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                  SP191716, Parish of Weyba
Applicant:        Widewaters Investments Pty Ltd

         Noosaville Locality Code
         A comparison of the proposal against the relevant provisions of the Noosaville Locality Code is
         detailed below:
              S61.1 Business Uses are Entertainment & dining businesses or Retail businesses offering food, shopping,
              entertainment and personal services to residents and visitors.
                  ~ Complies - the proposed use is an Entertainment & dining business - coffee shop and outdoor dining areas as
                  described by the probable solution. The use will service residents and visitors.

               $62.1 Business deliveries are undertaken only between the hours of 7am to 7pm; AND
                  ¥ Complies - the proposed use is able to comply with these requirements.

               $62.2 Business Uses operate only between the hours of 7am to 10pm, 7 days a week, except Friday and Saturday,
               where Entertainment and dining business uses may operate until 12pm.
                   ~ Complies - the proposed use is able to comply with these requirements.

          Business Uses Code
         A comparison of the proposal against the relevant provisions of the Business Uses is detailed in the
          table below:

            Outdoor dining areas
           O15 Outdoor dining areas are          $15.1 Walls to outdoor dining areas    Outdoor dining areas have been
           designed and located so that—         are—                                   approved as part of the original
           a) structures are aesthetically pleasing | a) if facing a roadway or other public development application over the site.
           and in keeping with the existing      area, transparent;                     No walls or roofed structures are
           character of the area, including the  b) not made of flexible, roll-up or drop proposed at this stage.
           architecture of the associated building; | plastic sheeting;
           b) outdoor dining adds to the         ¢) separated from the floor and any roof
           landscaped streetscape without        by a minimum vertical gap of 500mm;
           increasing perceived building bulk;   and
           c) temporary walls or roofs are stored d) if detachable or collapsible, are only
           when not in use and secured at all    used during inclement weather,
            times;                               AND
           d) adequate air movement is available; | $15.2 Roof, wails or other structures do
            and                                  not extend beyond the boundaries of
            e) structures do not impede the      the premises;
            movement of pedestrians or vehicles; AND
                         AND                     $15.3 The outdoor dining area
                                                 complies with Planning Scheme Policy
                                                 PSP14 Outdoor Dining;
                                                 AND
           016 Adequate clearways and head        $16.1 Roof structures over outdoor    No Roof structures are proposed
           clearance are provided to allow safe   dining areas have a minimum
           movement of users of the premises.     clearance height of 2.1m.

          Landscaping Code
          The proposal utilises existing premises and paved outdoor areas and is consistent with the provisions                     |
          of the landscaping code.

           Driveways and Carparking        Code
          A brief assessment of the proposal against relevant provisions of the Driveways and Carparking Code
           indicates that carparking under the Noosa Plan is to be provided at the following rate:
                Type 1 Food and beverages — 1 space per 10m’, or part thereof, of use area and
                outdoor dining area (excluding kitchen and food storage areas) on the property.

  222 martoo consulting - Town Planning + Urban Design Consultants                                                      8
 ee

Section 27

Proposal! Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                 at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                 SP191716, Parish of Weyba
Applicant:       Widewaters Investments Pry Lid

         The entire lot was approved by Council for the development of shops, restaurant and units under
         DA2005/1189. This approval provided for two areas of outdoor dining (each 22 m?) at the Gympie
         Terrace frontage of the site. The applicant has now prepared final survey plans assigning areas for
         exclusive use and has reassigned some of the area previously approved for outdoor dining to other
         areas of the site. The previously approved 44m’ of outdoor dining at the front of the site has been            |
         reduced to a total of 32m with the remaining 12m? located for an area of outdoor dining in front of the
         adjoining tenancy 2. An additional 10m? of outdoor dining is proposed on site as indicated on the
         approved plans in front of tenancies 6 and 7 which equates to one additional carparking space for the
         site. The applicant indicates that they are willing to pay a contribution in lieu of the provision of this
         space.

 6.2     State Planning Policies                                                                                        |
         No adopted State Planning Policy is triggered by this development application.                                  ,

  *.
  #22 martoo consulting - Town Planning + Urban Design Consultants                                           9

Section 28

Proposal Report Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                 at Tenancy 7 and Additional Outdoor Dining Area at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                 SP191716, Parish of Weyba
Applicant:       Widewaters Investments Pty Ltd

 7       Conclusion
         The above development application has been submitted to Noosa Council as the Assessment
         Manager of the application under the Integrated Planning Act 1997.          This application seeks a
         Development Permit for a Material Change of Use of Premises for a Commercial Retail Business -
         Type 2 - Shop & Salon which is code assessable development under the 2006 Noosa Plan.
         This application can be supported on a number of grounds as provided in detail in the above report.
         These grounds include:
         *   The surrounding land uses and roadways to the site and the characteristics of the locality support
              the use of the site for a boutique bookshop and gallery;
         *   The proposed food & beverages (coffee shop and outdoor dining) is consistent with the
              provisions of Noosaville Locality Code; and
         *   The use is to be located in an existing building and will complement the surrounding locality.
         The Assessment Manager's favourable consideration of the above development application is
         therefore recommended.

   #
   32 martoo consulting - Town Planning + Urban Design Consultants                                          10

Section 29

Proposal Report     Proposed Material Change of Use of Premises for Entertainment and dining business - Type | Food & beverages (coffee shop)
                     at Tenancy 7 and Additional Outdoor Dining Areo at the corner of Thomas Street and Gympie Terrace , Noosaville described as Lot 6 on
                     SP191716, Parish of Weybo
Applicant:           Widewaters Investments Pty Ltd

                                                                                                   Annexures                                          |

 Appendix A:                              Development Plans for the                                  Proposal                                         |

                                                                                                                                                     p,

                                                                                                                                                      f

   3% martoo consulting - Town Planning + Urban Design Consultants                                                                     11            ,

Section 30

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                                                                                                                                               Door Stack                                                                =a                                                                          2112 m? approx.
                                                                                                                                                                                                               4--4                                                                                 Tennacy 7- Proposed
           Retail Display                                                                                                     [\                                                      eek te         apo                                  =         —                                               Coffee Shop:
                                                                                                                                                                                                 a-4t7
                                                                                 Bifold Door Shopfront
                                                      SE                                                        a                                                                                                                                                                                     46.5 m? approx.
                                                                                                                                                                                                                                                                                                    PROJECT      —__—§"pfe
                                                                                              Proposed Floor Layout                                                                                                                                 ~1
                                                                                              Scale: 1:50                                                                                                                 en                                                                        Proposed Coffee Shop
                                                                                                                                                                                                            .
                                                                                                                                                                                                    a
                                                                                                                                                                                                                                                                                                    Applicant
                                                                                                                                                                                                                                                                                                    Andrew Lumsden

                                                                                                                                                                                                                                                                                                    Deiait
          IMPORTANT NOTE:                                                                                                                                                                                                                                                                           Proposed Floor Layout
          This plan was prepared for Andrew Lumsden as a proposal plan to
          accompany a development application to Sunshine Coast Regional Council                                                                                                                                                                                                                    Scate:         nian 1/2008
          and should not be used for any other purpose, The dimensions, areas and                                                                                                                                                                                                                   1:50 (A3)
          total number of lots shown hereon are subject to the Issue of all relevant
          development permits by Sunshine Coast Regional Council, a field survey by a                                                                                                                                                                                                               Drawn By:
          Consulting Cadastral Surveyor and also any additional requirements of                                                                                                                                                                                                                     LM - MARTOO CONSULTING
          Sunshine Coast Regional Council and any other authori which may have
          requirements under any relevant legislation. In particular, na reliance should                                                                                                                                                                                                             Reference No.:
          be placed on the the information on this plan for any financial dealings                                                                                                                                                                                                                   D-01019-01-B
          involving the land. This note is an integral part of this plan.
                                                                                                                                                                                                                                                           m7

Section 31

jSunshine Coast                               AND USE SECTION FEES
    Regional Council
                                                                                  RECEIPT TYPE
  SALE OF DOCUMENTS
            Superseded Planning Scheme Documentation                                    520
            Copy of Permit/Approval Letter                                              110
            The Noosa Pian Documentation                                                111
  APPLICATION FEES                                                                                           /
            Material Chan    Use Leasdmpact
                       is                                            3S Ve              521                   oe
                     onsistent                                                          §21                so
            Assessment under Superseded Planning Scheme     co                          §21
            Modification to a Development Permit                                        +521
            Extension of a Currency Period.                                             §21
            Operational Works - Landscaping                                             521
            Bldg Work assessable against the Planning Scheme                            521
  PRE LODGEMENT REVIEW
            Half Hour                                                                   §22
            One Hour                                                                    §22°
  ADVERTISING
  oo.       Purchase Advertised Applications                                            523
  JETTIES      .                                                                          ;
            Jetty Application Fee -                                                     524
            Jetty Bond                                               <      me,       , 31
                                                                                    (Category 4)
  BONDS                                  -
           ' Performance Bond                                                           §1
                '                                                                   (Category 9)
  SIGNS             .                                                  .
            Registration Fee                                               :          . 222
  SEARCH FEE                                     .                                  |
            Search of Land Use Section fite.                                            112
          ' Liquor Licensing Request                                                    113

  NAME:    xlojchewoters               “tverb pre h f fin                                      |
  ADDRESS:#i        e¢—     Ro     Fox       ti ry
  FILE NO:        ° a     LATE                 DATE:       2+{ yore             :
  RECEIPT NO:            09 SS      _—           Signature of TP Officer:                    Z                   ,
' AUTHORITY NO:                                                                                                  .

        :        .     [3/2008 /        1978|                                      _

                                                                                                                 3
                                                                                                                 >

Section 32

|                CALCULATIONOF FEES                              |
                 APPLICATION                 FEE               TOTAL
         .                                                     FEES
 MCU - CODE ASSESSMENT
 Details of Development

 Consistent 1.0                  .
 Inconsistent 3.0
 FEE CALCULATION

 MCU - IMPACT ASSESSMENT
 Details of Development

 Consistent 1.0
 Inconsistent 3.0

 FEE CALCULATION

 OPERATIONAL WORKS
Details of Development

 FEE CALCULATION

TOTAL FEES                      ]                           -o                   -

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