09/1270 - MCU - Detached House [As Published] · 132009.1270

 
   

 

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

 

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 detalis (mre Applcant is the parser sesponsiNe for making the apgitention and need ait te
finlermation provided on tha iDAS Apiatcaiian Forms is foviraiien ts velied icon by te
deciding is application By i this appricioan. the Appkoam news 08, Obhaaiions are? reste
apuroval thal indy be Ssued as 9 caisediients oF MS Bppication wat he issted to the Appian)

 

 

 

 

 

Company/arganisation name (if applicable) {Soui Space ef ~ BA Grow D

 

Individual apn fcanContact person (if there 1s more than one appliciint, provide sduittonal applicant detais on an anachment to this form}

@ Title First name [Pant / Last name [imtes S
Postal address [os Paluma St, Sunrise Beach, QLD 4567 Po bare To NAMB R -YSLO
Contact telephone number 07 5455 3651 Mobile phone number fT
Facsimile number fsione926 ti(‘~™*S e-mail address [pavi@soulspaceneiau : :

 

 

 

 

 

 

 

 

 

 

 

 

 

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2

Details of the. premises (é: vis land on which the development is proposed - refer to the advice at Une ord 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 Ifthe application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 

Name of éach local government area in which the mobile and temporary ERA is proposed to operate *

 

 

 

 

OR
Table 8 Street address for the premises (ii: sar sésh

 

(i) [X] Street address / lot on plan for the premises (Appropxi:ie for most applications including building applications): OF

 

 

     

 

 

 

 

 

 

 

 

 

  
 
 

 

 

 

 

(ii) [7] Street address stot on plan for the tand adjoining or adjacent to the premises (Appropriate for developmen in walter g. jetty.
e pontoon etc) (Note: Loton plan details may be obtained from tite documents, a‘ W::te" nolice, of fom the local government.)
~ Street Address r + | Cot of | plan description |
Tia | Sisal : = Pal iype and ~ Local gover Fniient area ee: go: Logan,
No. | No. |. Siteet Tas and olfciat Shburbhocaliy, name ‘Pia Number. 7 - Salens)
{ 1 512 | David Low Way, Castaways Beach 4567 32 SP111721 Sunshine Cextst Regional Councit
AND/ OR
Table C Coordinates and/or a map of the premises (Appropriate far development in remote areas, aves part of a fot. in water (e.g. channel dredging m Moreton
* Bay} etc.)
} . . ° "Coordinates
3 (Note: plac cach 30t of dodrdinates ina Sepataté Oo)
i Easting, 3 Northltig t it : Be
[~ Depasa
[ weses
fT Other -
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2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (ote: in most instances, the premises will not inva:
the following chiwacteristics, hinvever some applications may invoivit oe or more of these chenuciscisies. « complete only if appiic-rbie)

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