09/0879 - MCU - Detached House Peter Francis Amour [As Published] · 132009.879

    

Part A, Version 3.1, 3 March 2008

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1D} ‘By! ‘odging this: a
Fanproval iad inay tie issued asa consequence ofth

 

 

 

 

 

Company/organisation name (if applicable) ar |

 

 

Individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)

Postal address [cimartoo Consulting Po Box 1684 Noosa Heads Q 4567

Contact telephone number 5455 5425 Mobile phone number [
Facsimile number 5455 5725 e-mail address [email protected]

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

  
    
 

1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is givens iad <i
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete TableA Phen go to Q2.

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Li
OR Pon £ 2 a
Table 8 Street address for the premises (tick applicable box/es below and insert property description in the table, a Pap fenas separate roy Jo

 

 

 

 

 

(i) [XJ Street address / lot on plan for the premises (Appropriate for most applications including building applicayoasy); “Cate, in 4 J

(ii) (7) Street address /ot on plan for the land adjoining or adjacent to the premises (Appropriate for devéloginent@? val Gaiety,
pontoon etc) (Note: Loton plan d details may be obtained from title documents, a ‘Rate’ notice, or from the local government.)

 

Lot oni plan‘description *
| Plan type and }*.

 

 

  

‘Sweet Nasié ‘and off cial sububocaliy’ a a “Lot No

 

 

 

 

 

 

 

 

 

 

 

ie - Plant’ ‘Number *
4 8 Arakoon Crescent Sunshine Beach 4567 396___| cG1459__ Sunshine Coast
AND/OR The RP uy Siwm
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a Jot, in water (e.g. channel creating in Moreton
Bay) etc.)

 

 
 
 
 

   
   
 

Local goverimen are
a app icable):

 

 

[1 | : TT) papas
(2 weses
L] Otter -

 

 

 

 

 

 

 

 

 

 

2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in mast 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)