0014C22C.001

a?       —
            INTEGRATED PLANNING ACT 1997                                                                                                           Part A, Version 2.4, 29 May 2006
                                            Form         1  Development Application                                                                                   idas

                                     C                                                          detail                                                3                  \

                 The completion of all applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
                         uired, 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.gid.gov.au.
                     req            y                                                                           +       .                             *       *            .
               Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1.
              Description of land                           1.    Street address: fnctudinghouse number, street name, suburb/locality name & postcode) {if applicable)
              identified. However, a description of the land is not  14 Little Cove Road, Little Cove
              required in relation to a mobile or temporary                                                     tae      :                        .                A    .
              Environmentally Relevant Activity (ERA).      2.    Name of water body or watercourse, within which the development is proposed: (if applicable)
              development is proposed within a water body or                           —                                             -
  @          watecoursa.                                    3.    Loton plan description (eg. Lot 123 on RP 4567) / GPS coordinates:
              Advice for completing Q3 - Most land can be
              identified by a lot on plan description. These details Lot 4 On RP52918 and Lots 1 and 4 and RP108495
                be obtained from title d   ts o¢ through th              Te           we
             loca jovernment. ome eocumenss  orien’       | 4.    The above description is for: (tick applicable box)
              However, if the land on which the development is         {i}  the land on which the development is proposed; or
                              have  al       description (i.e.         -.                wes                                             wa       .                        .
              eiecclpmeste ponoeed he waer         baer           (1 {ii)   the land adjoining the water body or watercourse, within which the development is
              watercourse) provide —                                        proposed; or
              0 eoiingedacentiat on                               (CC (ili) the water body or watercourse.
              i) th       |      ipti                                   ves
              " adloininaladjacent fand (eg. in Moreton Bay). 5.  Shop / tenancy number:              6.    Storey / level:                 7.   Total area of land: (m? or ha):
               ii) GPS   coordinates where there is no

              development Is within a water body or watercourse.                        .
             Advice for completing Q8 - Q8 applies if                                          :     .             tea         .                                     .    .
              development s within a local government area,  8.    Loca! government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) (if applicable)
              focal government's area unless provided for under the                                                          ;              ;                 ,
              Local Government Act 1993.                     9.    Part authority for the strategic port land or strategic port land tidal area on which the
              Advice for completing Q9 - Q9 applies if                             i            .              i                     ‘He) fi    q
              development is onstrate pod land or a strateaic     development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
              port land tidal area. For more details refer to Guide 11 | nia                                                                                                     |
              Proposal details                               10.   Existing use of the land: (eg. vacant, single house, shop etc.)
@             provided in an attachment to the application.          detached houses
                                                             11.   Proposed use of the land: (eg. 6 unit apartment building, 30 fot residentiat subdivision, ERA for aquaculture in
                                                                   ponds with a total area of 7 ha for which wastes are released into waters etc).
                                                                     two detached houses
              Other applicable parts of Form 1               12.   Other parts of Form 1 completed as part of this application: (eg. Part D, Part J, etc)
              completed parts of Form 1. For information about       Part D and
              when a part of Form 1 may apply refer to Guide 1,
               Applicant details                             13.   Applicant's name:                                     15.   Contact person:
               applicant need not be the owner ofthe land.           Mike and Lisa Powell                                        Nadine Gorton
              When signing and lodging this application      14.   Contact number:                                       16.   Facsimile number/e-mail address:
               information provided is correct, The assessment                                                                   [email protected]
               manager, any referral agency & the Chief Executive
               {where applicable) will rely on this information when | 17. Postal address:
              Wins palais compan acer
              If tha applicant is a company - a contact person       Po Box 1684 Noosa Heads Q 4567
              must be shown.                                  18.  Signature:                                                             19.   Date: