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MCU12/0051 Development Application part 1 Application Forms 2-18 & 20 Hofmann Dr NOOSAVILLE

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3. Confirm that the following mandatory supporting information accompanies this application


Plans                                                                         Confirmation of
                                                                                                  Method of lodgement
                                                                              lodgement
plans showing where any notifiable activities, hazardous contaminant or
                                                                              [gIconfirmed
potentially contaminated activity has occurred on the premises
Written documentation


if the application involves a material change of use from an industrial use
                                                                              Dconfirmed
to a more sensitive use (e.g. child care, educational, recreational or
                                                                                                  mail
residential purposes), then a detailed site history outlining previous
potentially contaminated uses on the premises                                 [gInot applicable


Privacy   -
              please refer to your assessment manager for further details on the use of information recorded in
this form.



OFFICE USE ONLY


Date Received      I                       Reference Numbers



The Sustainable Planning Act 2009 is administered by the Department of Infrastructure and Planning. This form and
all other required application materials should be sent to your assessment manager and any referral agencies.




                                                                                        Contaminated land   -
                                                                                                                IDAS form 24
                                                                                             Version 1.0 18 December 2009
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