07/1252 - MCU - Detached House [As Published] · 132007.1252

INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

Form 1 Development Application

 

‘/ Common details

 

 

The completion of all applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
required, and by one {1} or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.qid gov.au.
Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of land 1. Street address: factudinghouse number, street name, suburbfocality name & postcode) (if applicable)
All land the subject of the application, must be all . . :
identified. However, a description of the land is not | 3S Ni LoCo SA SFEINAS DE A IC KSA] ¢
required in relation to a mobile or temporary onan . . ; . Soy
Environmentally Relevant Activity (ERA). 2. Name of water body or watercourse, within which the development is proposed: (applicable) 4267
Advice for completing Q2 - Q2 applies if | |
development is propased within a water body or —
watecourse. 3. Lot on plan description (eg. Lot 123 on RP 4567)! GPS coordinates:
Advice for completing Q3 - Most land can be _ Git? = ;
identified by 2 lot on plan description. These detaits | 26 TAQ BIO7T0I6 |
can be obtained from title documents or through the oe j j
focal government. 4, The abeve description is for: (tick applicable box)
However, if the land on which the development is (i) the land on which the development is proposed; or
have a | tan descrigion (Le. - bo wat: , ,

Ore developments proposed ins water body oF fe 7] (i) the land adjoining the water body or watercourse, within which the development is
watercoursd) provide ~ proposed; or

the | lan description for th was
@ edjoiinghhdjacent land: or (] {iii) the water body or watercourse.

GPS coordinates where there is no
" adjoining/adjacent land (eg. in Moreton Bay) 5, Shop / tenancy number: 6. Storey / level: 7, Total area of land: (7 or ha):
Advieg for completing Q7 - Q? does pot apply i the a2.
development is within a water body or watercourse. | | | { | 7 3 a “Yr |
Advice for completing Q8 - Q8 applies if . oe gi ; .
development is within a local government area. 8. i government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) {if applicable) )
Note: Areas below high water mark are not within a NI OOSA Co UNCH UL
local government's area unless provided for under the .
Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
Advice for completing Q9 - 09 applies if ‘ ‘ ‘
development is on sirateqic port land or a strategic development is proposed: (eg. Port of Brisbane, Port of Townsville} (if applicable)
port land tidal area. For more details refer to Guide 11 |
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
if there is insuffic . . -
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11. Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters etc).
| SINGLE DW EtiingG  +# fae & | |

Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part, etc)
Part A must always be accompanied by othe ct |
completed parts of Form 1. For information abat: Le. es
when a pant of Form 1 may apply referto Guide? 4 —_ - . —_
Applicant details 13. Applicant's name: 15. Contact person:
Cray seupwroteraiaerene™™ | [ K.Qliyer Cf DA 4
When signing and todaing this applicatio 14, Contac#number: 16. Facsimile number/e-mail address: )
The aoplicant Is responsible for ensuring the
information provided S correct, re 2 er centive | SUES t oS & 4 L SYS SE | Lo

sages, any referral agency et Cx
‘hers aonicebie) will rely on this information when | 17. Postal address: rl Ae Y a SS] &
assessing and deciding the application. | fe (‘ O Lo { { =
ifthe applicants 4 company - & contact person Se CO CH YOKE
must be Shown. 18. Signature: a ‘— )