07/1446 - MCU - Multiple Housing Type 2 Duplex [As Published] · 132007.1446

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Part A, Version 2.4, 29 May 2006

 

 

The completion of all applicable questions on Part A is mandatory for all applications. Part A miust 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.aid.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 4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of land 1. Street address: ¢nciudinghouse number, street name, suburbvlocality name & postcode) (if applicable)
All land the subject of the application, must be
identified. However, a description of the land is not | 29 to 31 Grant Street Noosa Heads |
required in relation to a mobile or temporary vhs A * 44 A
Environmentally Relevant Activity (ERA), . 2, Name of water body or watercourse, within which the development is proposed: (if applicable)
Advice for completing 2 - 02 apples if [NA ” - " |
development is proposed within a water body or = 7 ~
watecourse, 3. _Loton plan description (eg. Lot 123 on RP 4567) / GPS coordinates:
Advice for completing Q3 - Most land can ba | Lots 1 and 2 on SP179879 |
Identified by a tot on plan description. These details 1 .
be obtained from ti hrough rea >
Fae poe om tte documents rthreugh the | 4 The above description is for: (tick apptcable box)
However, ifthe land on which the development is _ (i) the land on which the development is proposed; or
Fe dockets nave ict lan rsarofon (ie C1 (ii) the land adjoining the water body or watercourse, within which the development is
watercourse) provide - proposed; or
Oa eran Socraron Kr the (iti) the water body or watercourse.
(i) GPS coordinates where there is no . . . .
adjoiningladjacent land (eg. in Moreton Bay). 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (m? or ha):
Advice for completing Q7 - Q7 does not apply if the
development is within a water body or watercourse. | NIA | | NIA J | 1087 -
cre ot emo oe cr ea 8. Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo eft.) (if applicable)
Note: Areas below high water mark are not within 2 Noosa
focal government's area unless provided for under the : J
Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
fees it comeing poten ae ato development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
port land tidal area, For more details refer to Guide 11 [ NIA
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
If there is Insufficient room avaitable, details may be
provided in an attachment to tha application. [Vacant |
11. Proposed use of the land: (eg, 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
a wth tal f 7 ha for which waste leased into waters etc).
ponds with a total area of 7 ha for which wastes are released into waters etc).
| Duplex dwellings |
Other applicable parts of Form 4 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part I, etc)
Part A must always be accompanied by other Part D , Part F and referrals checklist
completed parts of Form 1, For information about
when a part of Form 1 may apply refer to Guide 1, .
Applicant details 13. Applicant's name: 15. Contact person:
Clearly identify who is making the application. The rl yi
apnfcant need nat be the owner of te land, [ Res Bella Pty Ltd | [ C/ Nadine Gorton of Martoo Consulting |
When signing and lodging this application 14. Contact number: 16. Facsimile number/e-mail address:
Pera me [ 5455 5425 | [ [email protected] |
manager, any referral agency & the Chief Executive
(where applicatie) will rely on this information when | 17. Postal address:
he ger te aprieaion | C/Martoo Consulting Po Box 1684 Noosa Heads Q4567 ]
ifthe applicant is a company - a contact person
must be shown, 18. Signature: 19._Date:
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