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09/1512 Consent to application

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

  

 

(|

Table E Complete if the premises are on Strategic Port Land under the Transport infrastructure Act 1994

  

 

Table F Complete if the premises are in tidal water

 

 

3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

4,812.00 (Im? [hectares (Tick applicable unit)

 

 

4. Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

{ 1 Vacant (informal parking area) |

 

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, averland flow, water etc,)?

& No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application

6. Brief description of the proposal (e.g. 6 unit apartment building, 30 tot residential subdivision, a bore, aquaculture)

 

Transport - Type 2 Carpark

 

 

7. Does the poposal include new buildings or operational work {including any services) on the premises?

oO No Xl Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

   

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

X No -GatoQ9 Oo Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section,

   

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995, or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on ani aitachment to this form if applicable.

  
   

 

 

   

  
  

Sunshine Coast Regional
Council

 
  
 
   

255 David Low Way, Peregian Beach

  

* Owner's signature cannot be provided on the form if you intend to submit the apptication electronically. Owner's consent mie provided toyfaardsssment manager onan

attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Cotporations Agt 2001 (Gwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website . Paul T. Broc ‘we

 

ing lof

Delegated Officer

 

 
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INTEGRATED PLANNING ACT 1997 Part A, Version 3,1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river. creek, take, canal)

 

 

[|

Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994

 

 

Table F Complete if the premises are in tidal water

 

 

3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

4,812.00 []m? [J hectares (Tick applicable unit)

 

 

4. — Current use/s of the premises: (eg. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

| 1 Vacant (informal parking area) |

 

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc,)?

& No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application

6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

Transport - Type 2 Carpark

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?

Cl No & Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (eg. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

X No - Goto Q9 Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitemem must be submitted with the application. You do not need to answer Q9 - go to the next section.

 

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 
 
   

 

 

  

Sunshine Coast Regional
Council

 
   
 
   

255 David Low Way, Peregian Beach

     

ni ha

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided tnphaardss ee ree onan
attachment containing appropriate written documentation of the owner's consent. Ifthe owner is a company, 5127 "p Da aU rt Act 2001 {Cweaith ils how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website . roc

 pelegated oftest

 

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