001AD296.001

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             INTEGRATED PLANNING ACT 1997                                                                                    Part A, Version 3.1, 3 March 2008
             Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)
                             Ta                SP       ey Name ower body, waioreniee ot aiuterittmewnh                  "SS a
                      a
             Table E   Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
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             Table F   Complete if the premises are in tidal water
                              =" Name ofc govtiment fr the Gal arca (fappeoble)         "| Naphe of port euory forthe          alge Or epph cave)
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             3     Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)
                   Fey, otal area of premiges. aie                oT Se
                   792.00           (Xm? [Jhectares         (Tick applicable unit)
      O       4.    Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)
              5.    Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.}?
                    BX) No = [_] Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
              Proposal psate aetails SR           gh ee             RE     pel  ach      sacri Se ne vege die st Tees . 7 ee ee                      ae |
              6. _ Brief description of the proposal (e.g. 6 unit apartment building, 30 tot residential subdivision, a bore, aquacufture)
               Timber jetty
               7,   Dogs the poposal include new buildings or operational work (including any services) on the premises?
                    ["] No         Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
               (RESource emnlemnene (egapune) = manernornanon te omred aihe ance $e MTR                NGO,           ee               athe
               8.  Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
                    involves State land (leased and freehold), declared Fish Habiat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.} ,
      O                  No - Geto a9     CJ Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
                                                      altocation or entitlement must be submitted wilh the application. You do not need to answer Q9 - go to the next section.
               TOW TeeS CONSENT         abe    err eons OMga na agonseri               ab ME oR FM sorm        Fg                                    aad
               9.   Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
                    not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
                    Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.
                                    —“HanesOueannes [pS Deaisetthepremmes owned” = |. ‘Gg toycitnanger 2 | abate consent &
                 able H             = Sand postal addtess” 3. = ee ~istredh aches or fot onrplan description) 5... te. owe j pee ea wis objained *
                                    Orjan Hakansson                                                                  if
                                    Cl- PO Box 299,                15 Saltwater Ave, Noosaville. QLD 4566        () i                     04/06/2009
                                     Noosaville 4566
                                    Jan Hakansson                                                               7
                             2      |CEPO Box 299                  15 Saltwater Ave, Noosaville QLD 4566     iA        Ma bn               94/06/2009
                                     Noosaville 4566
                * Owner's signature cannot be provided on the form if you intend to submit the application electronicaily. Owner's consent must be provided to the assessment manager on an
                 attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Corporations Act 2007 (Cwealth) details how a
                 company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .