07/1849 - Op Works - Residential Subdivision [As Published] · 142007.1849

INTEGRATED PLANNING ACT 1997 , Part A, Version 2.4, 29 May 2006

WW Form 1 Development Application

 

Common details &

a.

 

The completion of all applicable questio ns on Part A is mandatory for ail applications, Part A must be accompanied by the completed IDAS Assessment Checklist if
Fequired, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.ak.gov.au.

 

 

 

 

 

 

 

 

 

 

Any information requested in the form may be provided in an attachment to the application. For further information about completing the folowing details, refer to Guide 1.
} Description of land 1 Te address: fnetudinghouse number, street name, suburtvlocality name & postcode) (if applicable) 5
{ All land the subject of the application, must be / LAGUNA SREET 2 a/ p MT
{dentifed, However, a description of the tand is not 2 QREE OF
Habiahialarwnamlrend yeild 2. a of water body or watercourse, within which the development is proposed: (if appiicable) :
j Advice for comnleting Q2 - 02 appiies if ~
r | development is proposed within a water body or
j watecourse. 3. Lot on plan description (eg. Lot 123 on RP 4567)/ GPS coordinates:
‘Advice for completing Q3 - Most land can be
Oey hee | Lor § SP 19/ 680 ]
can documents of through the
4. The above description is for: (tick applicable box) .
‘ocal government,
« However, i the land on which the development is wi the land on which the development is proposed; or
;rosed does pat have alt on pan destin fey. Oi) the land a adjoining the water body or watercourse, within which the development is
} watercourse) provide — ; Proposed; or
0 eto Ban Serre fe he Li) the water body or watercourse.
AD stolons te ‘oa ir theeton Bay). 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (mr? or ha):
<Siomaamayton | [- ) | =n |
_ development is within a water body or watercourse.

. Sete a Oe see rea 8. Local goverment area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) (if applicable)

 

 

 

 

 

 

Wate: Aas teow igh watermark om natwinne | 6 | NOOSA [A (RE
. government's area

to Government Act 1993, / 9. Port authority for the strategic port land or strategic port land tidal area on which the
Preeccrerarerrer vote stop development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)

[Pra al area. For more deta refer to Guido 11 | - |
' Proposal detalls 10. Existing use of the land: (eg. vacant, single house, shop etc.)

| ther insufcent room avaiable, detais may be [ VACANT |

 

_ ) provided in an attachment to the application.
@:; 11. Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential mubtieson, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters etc).

 

 

 

 

 

 

 

 

[2 LOT RESWENTIAL — SABD/VMON/ 1
Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part J, etc)
tatheutumateocmmivens | [Pak E.  CHEKLIY« __ |
{when a part of Form 4 may apply refer to Guide 1,
| Applicant details 43. Applicant's name: 15. Contact person:
‘ppeninmieiorenae [PeS PTY KD | [Codvn/ PY WKELE |
! When slgntng and lodsna tis apoication 14, Contact number: 16. Facsimie-pemy ail address: ,

 

 

|Meapkatisesosbomresugte = |  [ogo9-7-79 263

i referral & the Chief Executive
{here appfeabe) wit ly on hs fomation when 17. Postal address:

 

 

[eseea nd ae en — (6 Cache Court Ket 4 RRCEIVEA2
{ must be shown, 18. Signature sl