07/2333 - Prescribed Tidal Works - Transport Type 5 - Domestic Marine (Private Jetty) [As Published] · 142007.2333

NiCcs & Coumcicn

INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007

   
   

identification of the premises the subject of the application

1. Can any part of the premises be identified by a street address or lot on plan description?
(1) No - Answer Q1(a)

1(a) Does the application only involve a mobile and temporary environmentally relevant activity (ERA)?

[1 No-Gowa2
[1 Yes - Complete Table A stating each local government area in which the mobile and temporary ERA is proposed to operate. Then go
10 Q9
Table A

 

Name of each local government

 

 

 

lt.

 

of ves — Complete Table B and answer Q1(b) and Q1(c)

 

 

Table B
Lot on plan description
Unit | Street Official suburb Post | (pisce each description in a separate row)
number | number Street name focality name code [1 pn Local government area

type
number | (eg. RP, SP) Plan rumber

[1 32> [WNuNAPR Se INoeAvieLe uch td | N /1051-6] eo snige}

4(b) a address be further described by shop/tenancy number or storey/level?

 

 

 

 

 

 

 

 

 

 

 

 

 

No
OO Yes- Complete Table C
Table C
Shop/tenancy number Storeyfevel

 

 

 

 

[1.

 

1(c) Is apy part of the premises strategic port land under the Transport infrastructure Act 1994?

No
(Yes - Complete Table D

Table D

 

Lot on plan description Port authority for the lot

 

 

 

[1.