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08/0530 - Operational Works - Transport Type 5 - Domestic Marine (Jetty) [As Published] · 142008.530
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Form 1 Development Application
Part A
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 Appicant is the person responsible for making the application and need nof be the owner of the land, The Applicant is responsible for ensuring the
linformation provided on the {DAS Appfcation Form is correct. This information is refed 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 IPA, Any development permit or prokminary
\anprovel that may be issued as a consequence of this application wil be issued fo the Applicant)
Company/organisation name (if applicable) [soy CORPORATE - THE ANCHORAGE NOOSA |
Individual! applican/Contact person (If there is more than one applicant, provide additional applicant details on an attachment to this form)
Title Cl. Firstname |APPROVALS COORDINATOR Lastname {SUPERIOR JETTIES
Postal address [Po BOX 920 NERANG QLD 4211 |
Contact telephone number [07 5594 8200 Mobile phone number [tti‘CSs‘*@z™
Facsimile number 07 594 8244 e-mail address [email protected]
Details of the premises (ce to land on which ihe development is pronosed «roler to ihe advica al the endofthefomm)
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 goverment area in which the mobile and temporary ERA is proposed to operate
| 1
OR
TableB 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) oO Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF
(ii) (X) 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 plan details may be obtained from title documents, @ ‘Rate’ notice, or from the focal government.)
Unit | Steet = eet Adress = Eaton aia + Local government area (0.9. Lagan,
No. | No. Street Name and official suburb/iocality name —_| Post Code | Lot No. Plan Number ran” Calms)
1 297 | GYMPIE TERRACE NOOSAVILLE 4566 0 BUP7631 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 fot, in water (e.g. channel dredging in Moreton
Bay) etc.)
Coordinates
{Nota: place each sef of coordinates in a separate row) Zone Daturn Local government area
Easting Northing Latitude Longitude Reference {if applicable)
1 [J pepags
CO wesea
1) Otter -
2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)
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