08/1689 - Operational Works - Signage [As Published] · 142008.1689

 

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Part A, Version 3.1, 3 March 2008

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Common details

OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how to complete this form.

Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. The Applicant Is responsible for énsuring the *

 

information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and :

[deciding this application. By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the (PA, Any development 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) [ken Kicks and Associates

 

Individual applicant/Contact person (if there is mare than one applicant, provide additional applicant delails on an attachment to this form)

Postal address |Po Box 6380 Maroochydore BC QLD 4558 |

Contact telephone number [54432844 Mobile phone number [
Facsimile number 54437146 e-mail address nick.leddy@kenhicks,com.au

 

 

 

 

 

 

 

 

 

 

 

Details of the preinises fie 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 If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only, Then go to Q2.

 

| Name of each local government area in which the mobile and temporary ERA is proposed to operate
[1
OR

Table 8 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) Bd Street address / lot on plan for the premises (Appropriate for most applications including building applications). Of

(i) ([] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoon etc) (Note: Loton pian details may be obtained from title documents, a Rate’ notice, or from the local government.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Addi Lot on pian description
Gat | Steer Street Address E Plan one and Local government area (e.g. Logan,
No. | No. Street Name and official suburbfocatity name —_| Post Code} Lot No. Plan Number Cains)
4 26 Eenie Creek Road, Noosaville 4567 1 SP 182880 Sunshine Coast Regional Council
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a jot, in water (e.g. channel dredging in Moreton
Bay) etc.)
Coordinates
(Note: place each set of coordinates in 8 separate row) Zone
Easting Northing Latitude Longitude Reference

 

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C - Tewantin
ro : - : ? te CUTE
2. — Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most 1 lagcedythe premises will nat jafonte agly of

the following characteristics, however some applications may involve one or more of these characteristics - complete only if opplicapie)