09/0871 - Operational Works - Prescribed Tidal Works - Jetty [As Published] · 142009.871

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

    

   

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Common details

  
   
    

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Conipany/organisation name {if applicable) [Pite-tt Pty Ltd Noosa Jetty Builders
Individual applicant/(Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form}

Postal address [Po Box 299 Noosaville QLD 4566
| Contact telephone number Mobite phone number

Facsimile number 07 5474 3480 e-mail address [email protected] |

 

 

 

 

 

 

 

       

  
 

 

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ion is given to identify the premises)

1. Identify the premises by completing Table A, or Table B andlor Table C (ensure adequate informati
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 

 

 

pag Namie ofeach Gea cavemen area iwhich helmobie andtemp ctary ERA. proposed fe ope
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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.)
(i) §Q Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

@ (ii) [[] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in watene.g. jetty,
pontoon etc): (Note: Loton plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government} ~ .

HS ORs Street Addie 2

   
   
 
   

 

 

 

 

 

 

 

1
AND/ OR

Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, ov
Bay) etc.) : ‘ . .

 

   

 

 

 

 

 

 

 

 

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)