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0015E664.001
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INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006
. N \ Form 1 Development Application nee
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F,, The completion ofall appficabfe questions on Part A is mandatory forall applications. Part A must be accompanied by the completed IDAS AsSesement Checkist =.
fe required, and by one (1) or more other completed parts of the Form as required. For. more information of the parts of tie Form refer to www ipaigkt.qov.atle =. “*
I Any information requested in the form may be provided in an attachment fo the application. For further iriformation about completing the following details; refer to Guide’,
F Description of land 14. “Street address: fnetudinghouse number, ‘street name, suburb/iocality name & posteode) (if applicable) 7°".
‘All land the subject of the application, mustbo «= | | [ye ' ~
[dented Hovee, adept fads ot | (2 QoANE UF \CE. NCOsA ery , Yt ~ bf
[Enironmottaly Regen Achy ERA 2. ” Name of water body or watercourse, within which the development is proposed: (applicable)
development is proposed within a water body or — - - a - —— J:
Oe” 3. Lot on:plan description (eg. Lot 123 on RP 4567)/GPS coordinates:§
Advice for completing 3 - Most land can bé = — Ss .
| Meni by alton pen descrip. These details LOoTs, BYVOPI2Z0CCO
(peal goverment. He documents or trough the | 4 The above description is for: (tick applicable box) 7 -
However, ifthe land on which the development is mi the land‘on which the developmentis proposed; or a
Hip developments prpocad na wator bod ation fie. CA (ii) the land adjoining the watet body. or watercourse, within which the development is
fpctercnuse provi oo proposed; or «. - ms ot, oO ,
= ‘a sionngadeentant. =|) the waterbody orwateroourse. | ,
HO Solnngladacent and (og h Moreton Bay 5. Shop/tenancy.number:. 6. Storey/level: 7. Total area of land: (morha):
Fdovelopmenis win await boty or welronuce > aaa SINGLE . Ft!
jGivicelorcomeieting 8: Ob amniest | 18, . Local government area in which the land is situated: (eg. Esk, Hervey Bay; Wodcoo et) if applicable)
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‘Hocal goverment’ ae ohoce pntotieg te andthe NOOO SHie — _ .
piece! Government Act 1993. 9. Port authority for the strategic port land or strategic port land:tidal area on-which the .
| een me Reread strategic ©«|«-deVelopmentis proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable) =
pion remeeenarea | ed
{Proposal details . | 10.. Existing use of the land: (eg. vacant’ single house, shop etc.) ae
@] ovis an ctactment tote appieaton, __ = a! — :
i 41. Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential sisbdivision, ERA for aquactitture in. °
L : .|-° ponds with @ fotal area of 7 ha for which wastes are released into watersefc). =k eo
[Other applicable parts of Form1 ~~ |12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part I, ec)
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_ Completed parts of Form 1. For information about _ _ _ 7
When a part of Form 1 may apply refer to Guide 1, |e . Oo oo VE : oo oe wet * oe “ 7 .
Applicant details | {43. Applicant'sname: | 15. Contactperson,.
’ Clearly klentify who ig making the aplication: The’. * fof ° ; =—— .
eamtaemondteed” | ANTS X LOMShea] [ApkGew LoMepei}
‘ensign nn te natn - 114. .Contactnumber _ 16. Facsimile number/e-mail address: «°-
‘The applicant is ble for the
Eeameteas, | Louoez7Z0_] |
rth lief Executive ee . oo - : . _
oe ate sorptanent 17. Postal address: CON AO
| eed [2] RAN ST, SOOSHINE Bench USGz]
assessing and ééciding the Bppliggion. 7~ cto. — rer *
eee er RN Y\ 18 Signature: A / fs 19. Date:. ae
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