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09/1102 - MCU - Retail Business Type 2 & Entertainment & Dining Type 1 [As Published] · 132009.1102
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Form 1 Developm
Common details
INOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for atv
Applicant ¢ details (The ‘Applicant is the person responsibie Tociaking the-appication and need not be the owner: rol the la
information provided on the IDAS Appiication Form is correct. This information is refed’ upon by the Assessment Manager. and any rete
‘deciding: sis application. By. lodging this. applicati jon,:the Applicant it incurs the obfigations.and responsibil prescribed by the IPA, Any d
‘approval. that may be issued as a consequence.of this application will be issued to the Applicant.) 3.25
Company/organisation name (if applicable) |Cafe Affair Holdings Australia Pty Ltd
Individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)
Title First name ‘| Last name | i
Postal address [ci Martoo Consulting Po Box 1684 Noosa Heads Q 4567
Contact telephone number Mobile phone number
Facsimile number 5455 5725 e-mail address
Tee the land on which Ihe developitent Is propased = chen ee
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.
L oe
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.)
() [XJ Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF
Details of the premises
(ii) [[) Street address Alot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
Pontoon os) {Note: Lofton Plan details may be obtained from title documents, a Rate" notice, or from the local government)
1 {6 32 | Hastings Street Noosa Heads Q 6 SP120366 Sunshine Coast
AND/OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (2. 9 channel dredging in Moreton
Bay) etc.)
1 = ~ ——— [ peoas4
Ti wosss
[_; Other -
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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