09/0077 - Preliminary Building Approval - Garage [As Published] · 172009.77

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

  
 
 

Form 1 Development Application

 
  

_
Part A 74 JAN 2009

. 8y Noosa Building Certifiers
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.

am te " = ~ a - mony SATO I NIE wa Mm :
Applicant details (The Applicants the person responsible. for making the application and need not be the owner of the ‘and:: The Applicant is responsible for ensuring the
information provided on the IDAS Application Form is correct, This information is relied upon by the Assessment Manager and any referral agencies when assessing and

deciding this application: By fodging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA, Any development permit or preliminary
‘approval that may be issued as a consequence of this application will be-issued to the Applicant.) . 2. .

 

 

 

Company or organisation name (If applicable}

 

Individual appticant/Contact person (if there is more than one applicant, provide additional applicant details onan attachment to this form)
- t

Title im g First name PETER . Last Co//, I $
Postal address F6 oy 109 3 NOOSA C/LLe Pp < 4566
Contact telephone number eC 4 / £ 7 g 3 3 oO / Mobile phone number

Facsimile number e-mail address.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detalls of the premises, (ic. the:fand on whic Ste
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. hen go to 02
. Name of each local govemment area in which the mobile and temporary ERA is proposed to operate

 

development is proposed ~feler fo the advice at tha end of the form . ian

 

 

 

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.)
(0) Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

(i) (2) Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty, pontoon
etc} (Note: Lot on plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government.)

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address ” Lot on plan description ”* Local 90 vemment area (og
ni Siaet , Street Name ‘and official suburb/ocality name oe LotNo. Man ype and / Logan, Cairns)
1. 77 | CoOYPR ST ashe’ 6 aQ|SkE
NOLS A HEADS | RD FRO NS Oona
AND/OR
TableC Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a fo, in water (2.9. channel dredging in Moreton Bay) etc.)
Coordinates Zone Local
. : , government area
(Note: place each se of cooiinats ina sepereie (ON) _ Reference Datum (if applicable}
Easting : “Northing latitude *:> Longitude ‘ oe
4, : (icpas4 L] wese4
C0 Other

 

 

 

 

 

 

 

 

 

 

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