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

ED
19-JPN-1924 9:2 From: RECEIW To:Fax P.ird

no 3.0 se? vile SCANNED
REGISTERED

INTEGRATED PLANNING ACT 1997 Post A Version 3.1, 3 March 2008
Tebte D Compiate it the premises are adjacent to of aesociatod with 3 water badly, watercourse or aguiler (6-9 say, erect bre. c nag
Hamo rf ester Sady wax.
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Fable E Complete i the promises aro on Strategie Port Land under the Transpart Infrastructure Act 1996 —~
Lot on pizn description for ctrotespt, pati °

 

 

 

 

 

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Table F Compicte if the premises a are in tidal water
_Nama of taal govarnmon to a nl are 9 appt steed |

 

 

 

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3

Indicate the lotei area of the prémiscs on which the development is proposed oe the tall am may makes bond both shove SA Botan 93%,

 

Total aren of proniace
[em (hectares eos

 

 

604.40

 

 

 

 

Esiting ws af ths
4 Current usels of ‘i premises {0.9 vacant tind, house: townhouss + ipemnen building hoy, SWE: dation sehODL sugar cane farming st)

 

 

i I Land

 

 

5 Are there any sing eat ments on the premises? fog. for voingule ae i whethey,0 overtand flow, wxster oie J?
ix} No [7] Yes -: : Sos : no

Peepers details

6 — Ginet descnption of the proposal cy. 6 uel qnartment oulzung. 30 Jo readout! sutatnncon. 2 bore 2gurcuens ty)

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i Progoszed anw single residence 1

i ee RS ee — ci

7 Does the poposal include new buridings oF oparalional work ning any services) on tha © premises? at
(Jno kl Yes-: ‘ tes te ‘ : : . ‘ rat Pe ,

 
 

Resources c21

5. Docs the application involve taking or mtarfering with a Stata resource and therefore mauira 6 resource entitlement? fe 9. tho apprtion
imilers State land ficased ana lreenotd), dectored FIA Hgtat ‘unas, id Query Fiche. king at imerforng wet Watts ureter the: Water Act 2000 cir |

BANo - ieee 1D Yes -

Cena

9. Complete Table H for appticasons mvaiving a » material change Of u8e: reconfiguration af a lot Work an land below high-water mark and
not within a canal as defined under the » Coastal Protection and Manageret Act 199%. Of Work on rai corridor land defined under (he

 

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Transport inivastrutture Act 1994 - foe woo Ske hea
Hapa 1 ~~) Promeos Ovrer's a ] ” “heen ia -
tame and postal addiess | ferecn ares
«8 J Fairs } . on, o, .
| 88 Lorrikeot Drive, Perigian | Lot 32 Se 111721 e He > BODDT,
{_—_{Beach dee ( i (irky Rls G0 5

be frovitad to tho ascesamient menage onan

* Ovea’s cignalure canno! bo provided on (ha form if you intend to cubmul tio Spnicaban alerbomcally Owner's ea
raters ACK 200) (Cwvealth} dtdads how &

attachment containing spnropriats wrilten Yodawnenitizbon af the owner's cangent Feo cana iz. company. 427 Cite
‘gxmpany may ign as owner Teitiplistos for the provision of owner's consent om cvelsnio on IND T= cf:

 

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