0015A1E4.001

INTEGRATED PLANNING ACT 1997                               .                                                          Part A, Version 2.4, 29 May 2006
             WW                         Form       1  Development Application                                                                      nee

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             *, The completion of all applicable questions on Part A is mandatory for all applications. Part A mOSthe Secompanied-ty the completed IDAS Assessment Checklistif
            >   sy  fequired, and by one (t) of more other completed parts of the Form as required. ‘For more information on the parts of the Foi refer to www,ipa.gid.qov au
            i 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 ofland    .     =. ..%      1. ~  Street address: fncludinghouse number; street name, suburbVlocality hame & postcode) (if applicable); =
            | Enver     Raat Achy ER.         2°    |2. ° Name of water body.or watercourse, within which the development is proposed: (i applicable)
            !   i                i             he    '   hoppers    gt  vs  she poche teat   :           TAN    Set       et       et te       “         .
            ' development is proposed -within a. water body Or; J x2 s+!     —                    -         -     —         —_                         -
@           jWatecouse,                             | 3.   Loton plan description (eg. Lot 123.0n RP.4567)/ GPS coordinates:    ©.     2  ow   oF
            ? Advice for completing Q3- Mostiand’cahbe = "f°                                                    -
            1 identified by a fot on plan description. These detalts. | Lor B44 on       SPiIOZS 19
            " can be obtained from tite d fsorthroughthe ||, -              ie     ie             ee      serena               Tg ee
             ca goverment              te ee         14,   The   above description is for: (tick applicable box)” - yo                                        j
                                    ~            °              1    “ .    .   7  .  ib.  Ce  ¥   .    ee             a           ry          z   -    See
            } However ithe land on whieh the developments . ~ (4G). the land ‘on which the development is proposed; or      -.                           .
            Propose meu peter oh                fie     -  EA) the land adjoining the water body or watercourse, within which the developmentis
            | watercoutse) provide - wo    we         fe     ee proposedor          st                                      Re                 ee
               thé foton plan description forthe +              ey ge                  aa
            \ adjoiningfadiacent land: of. >          [°C] (il). the water body or watercourse.        ©. *                                    ante:      .
            1 () GPS coordinates where theraismo "fs.  fe     :       ep                                  BT                    re               .
            i" adjoining/adjacent land (eg, in Mareton Bay). ~ 5. . Shop / tenafcy number:      Storey / level:     _.   ,. 7. Total area of land: (m*or ha):
            : development is within a water body or watercourse. |.       ga       .                   :                 hoon                                 t
            "Advice for completing gs -Q8apptesit-    |p. bocaly     ae                      the land is situated: (eg. Esk, Hervey Bay, Woocao etc) (if appicable) 4
            : development is within a local goverment area. = |" ee te Saw                                       - (eg. Esk,   y Bay, Woocoo etc.) {if app
            ‘ local govemment's area unless provided for under ti Ve p A     =              ———            TTT       7              =      -           ;     .
            { Local Government Act 1902s SS    *           N Noutth@mry tor the strategic.port land or strategic port land tidal area on which thes.  -...°   |
            Advice for compteting.Q9 -Q9 applies it:         Ry ment j          Nepd!   fan Pod nt Brichi   ;      oy    Frnt eat gt         oe             -
             development an statagi: por land ora sretegic        pment is. proposed: (eg. Port of Brisbane, Port of Townsville) (if appicable).   Ln
            potion omen eaitt | WOT
             Proposal details’  «°° - ":        .     ./10. Existing use of the laind: (eg. vaceit single house, shoptc)  =?
            onedinanatznnenheapicaion             |. LWACAST                 ____                     —————                                                   |
@                    me   ES               S111, Proposed use of the land: (eg. 6 unit apartittent building, 30 lot residential subdivision, ERA for aquaculture in” :
             goo          eee   Ugh        hs  SREP TCS. pande with a total area of 7 ha for which wastes are released into walers ec).
             Bae        i. i     re a Be       Se “ede ” »      DE;     4     ;       A       Leng                                                           |
            ; Other applicable parts of Form 4 = ;°{12. : Other parts of Form 1. completed as'part of this:application: (eg. Part D, Partie):
            { completed parts of Form 1. For information about {°° L_ 7a    D      +      c¢fecuus                                                      __}
            when a part of Form 4 may apply refer to Guides go. f wk De es te       gt  ce  ee        et             a     Tae     om       A   Se
            Applicant detals Bo         Heth yest 113.8 Applicant's names.           SS © 15.” Contactperson:
           i. Clearly identity who is making. the“appiication. The’ | fg: : ARTELH RRoretnes O™    UD      ye     IAN.     Ole ERT                           “
            j applicant need pot be the owner of theland. ac f te, EE                                      Pa Se                     =          —           -
              ie sets edna ictal                      14. Contactnumber, “"          * <             *. . °46- -Facsimile. number/e-mail-address:3. a...
            ‘The appiicant is résponsible for ensuring the. 2‘ w#8] va                                   — Tian © artech qroug. cam.d
            { information provided is correct. The assessment... }. ae 0S 8362 ISSS                         yo Lan BD       artechqroug. com es
            | mailager, any referral agency & the Chief Executive “|” wan        :                                   a                          de      He
            ! (where goplicabla) wil rely on this information wtien. «; 47, Postal address: 20. oe Sow ge
            | assessing and deciding the application. “ :, S* * :                                                                                            F
            ibs suulattis acanaam? senaitpesor f° LST_KING WAM                             Sr       KENT       Toon         SA      SOb                      |
            {             Mh.    Pk         EE     aw ba. Ag     RR ge       SR RR oe               pot    per Bs Beales oe  ee  Gs              so       oe
             ust be shown.       Se     eB Signature.                                      EES       a     Pg            19.  Dates                       ad
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             is eR       Maatte  Byes  pe Pap. vt                                                                     eg Ee                          OY &
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