09/0134 - Operational Works - Prescribed Tidal Works - Transport Type 5 (Jetty) [As Published] · 142009.134

INTEGRATED PLANNING ACT 1997

Part A, Version 3.1, 3 March 2008

     

Form 1 Development Application

Part A
Common details

NOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how to complete this form.

Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. The Applicant is responsible for ensuring the
information provided on the [DAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and

deciding this application. By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the JPA. 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) PONTOONS BY DESICN
individual applicant/Contact person {If there is more than one applicant, provide additional applicant details on an atlachment to this form)

Tite] AMS jFirstrame | ANI NET TE aan LYNNE

Postaladdess| Lo AVIAN ST KUNDA PARK ASSG
Contact telephone number S4t4s 45 & 4 Mobile phone number

Facsimile number | S4A77 ISSO e-mail address| PO NtOONS @hotkey. net

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AU

 

 

Details of the premises (ie. the fand on which the development is proposed — refer to the advice af 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 02.
Name of each local government area in which the mobile and temporary ERA is proposed to operate

 

 

 

 

1.

 

 

OR

Table B Street address for the premises (applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
(i) (2 Street address / lot on plan for the premises (Appropriate for most applications including building applications): OT

(ii) [1 Street address Alot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water @.9. jetty. pontoon
etc} (Note: Lot on plan details may be obtained from title documents, a ‘Rate’ notice, or from the focal government.)

 

 

 

 

 

 

 

 

 

 

 

 

Street address Lot on plan description Local government area (e.9.
‘ne Sioa J Street Name and official suburb/locality name on Lot No, Pan typ8 and Logan, Caims)
1. 3B | Dolphin Cresceut 69|N1057Z2| Suushine Coast
‘ ‘
Ncosaville 4866 Regioual Counct {
AND/OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of alot, in water (e.9. channel dredging in Moreton Bay) efc.)
Coordinates
(Note: place each set of coantinates in a separate row) Zone Datum Local government area
= ~ ~ Reference {if applicable}
Easting Northing Latitude Longitude
1.

 

CL cpass (J wese4

 

 

 

 

 

 

LJ Other

 

 

 

 

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