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09/0951 - MCU - Detached House [As Published] · 132009.951
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
, AAS Form 1 Development Application
Part A
Common details
ir /
NOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form fs x this form.
a
Appl ant details (The Applicant is the person responsible for making the application and need not be the owner of the land, Tid
information provided on the IDAS Application Form is correct. This inlormation is relied upon by the Assessment Manager and any referral @jeheie [Ero and =
deciding this application. By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA, Any development permit or preliminary
approval that may be issued as a consequence of this application will be issued to the Applicant)
Company or organisation name (if applicable) Busy ano Beach P-v4 LTO
Individual applicant/Contact person (if there is more than one applicant, provide additional o“ details on an attachment to this form)
Tite] pA {Firstname | lant rast | VWlautH
Postaladdress | PO Box NTO NloosaviLlte DC LD 4566
Contact telephone number | Ly! S600 Mobile phone number] Otel Sb 4-S4
Facsimile number SwyTl 6644 e-mail address: ian.weyth Obuchandbeach.com. au
Details of the premises (ie. the fand on which the development is proposed - refer to the advice at the end of the form)
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 a2.
dint je. Name of each local government area in which the mobile and temporary ERA is proposed to operate . %,
1,
OR
TableB Street address for the premises (~“ applicable box/es below and insert property description in the table. Identify each Jot in a separate row.)
{i) wm Street address / lot on plan for the premises (Appropriate for most applications including building applications): Of
(i) (1 Street address /lot on pian for the land adjoining or adjacent to the Premises (Appropriate for development in water e.g. jetty, pontoon
etc) (Note: Lot on plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government.)
. Street address: a Lot on plan description i
a Steet Name and offical suburbihacalty nam _ late tot. x an e and a) = . agen. ae af
1. a5 | URUNGA Paro U5LS | oO APSAZIG Sunstine Coast
Bott En Pours REGIONAL Counc: L.
AND/OR
Table C Coordinates and/or a map of the premises (Aporopnate for development in remote areas, over pan orale in water (e .g. channel dredging in Moreton Bay) etc.)
See eer LL Coordinates — ; # :
ee = (Note: place each set of coordinates in Separate row) ° Zone . Locat government area
. : = ‘Reference ee * ge Uf applicable)
Easting £...= = Northing be Latitude “ Longitude whe is . 2 ae
1. CL) coass (] wese4
CO Other
Danni
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