Development Application - Part 1 of 2 Application Forms · OPW11/0256

LI 1C I
  What type of approval is being sought?

® development permit
q preliminary approval
q both - provide details below


11-13-the application fora mobile and temporary environmentally relevant activity (ERA)?

Z No
q     Yes - complete table A and then go to question 5




Table B - street address/lot for the premises or street addressAot on plan for the land adjoining or adjacent to the
premises

                                                                                Lot on plan
                 Street Address
                                                                                description
                                                                                                    o al government area
                 Unit Stree t       Street name and official        Post            Plan type        (e.g. Logan,Caims)
                                                                           Lot No.
                 No.   No.           subu rb/locality n ame         code           and plan no.

             1         19       Dolphin Cres, Noosa Heads       4 566      77      CP N10573      Sun shine Coast

q Street address / lot on plan
   Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
® water e.g. jetty, pontoon)
Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)

                 Coordinates (note: place each set of
                 coordinates in a separate row)                         Zone                            Local government
                                                                                        Datum
                                                                      reference                         area (if applicable)
                  Easting       Northing    Latitude    Longitude
                                                                                   q GDA94
                                                                                   q WGS84
             1
                                                                                   q other



 - Total area of the premises on which the development is proposed Indicate hectares or m=)
 14m2
    Current uses of the premises (e.g. vacant land, house, apartment building, cane farm,


         1       Residential land



7. Provide a brief description of the proposal (e.g. sbc unit apartment building, 30 lot residential subdivision etc.

Jetty system including access gangway




                                                                                               Application Details - IDAS form I
                                                                                                 Version 1, 0 18 December 2009