00196B01.001

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)