08/1426 - Preliminary Building Work Assessable Against the Planning Scheme [As Published] · 172008.1426

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

das}

 

 

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 details (The App‘cant is the person respons:b's for making the epp"czton end need not be the owner of the iand. The Appicent is responsit's for ensuring the
‘Fr’ormston provided on the IDAS Appiceson Forms correct. This informet.an is reed upon by the Assessment Manager end eny referral agenciss when assessing end ‘
deecing ths eppiceten. By lodging t's epp*er‘on, the App cant incurs ‘ne obSg2ons and responst:..os prescribed by ths IPA. Ary dove‘onmont perm’ or pre“mnory
“approval that may be issued 93 8 consequence of this eppl'cz"on w.7 be issued to the App'cent )

 

 

Company/organisation name (if applicable) [

 

individual applicant/Contact person (if there {s more than one applicant, provide additional applicant detalts on an attachment to this form)

Title | MR | Firstname | D. BARRY Last name | Ross

Postal address | @ MAYFLOWER ST. WARWER , WSO, Qtr,

Contact telephone number BZAS WWbs Mobile phone number Oh0€ 6KF KSO
Facsimile number | e-mail address fb a2 705$@ bigqpond. nat ou}

 

 

 

 

 

 

 

 

 

 

 

Details of the premises je the anton wzn te dovelomeon i proposed - retro the advice e the end of to fom)
4. 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 each local government area in which the mobile and temporary ERA is proposed to operate

| 1
OR
Table B Street address for the premises (tick applicable box/es below and insert property description in the table. identify each fot in a separate row.)

 

 

 

 

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

(i) ([] Street address Alot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jot,
pontoon etc) (Note: Loton pian details may be obtained from title documents, a ‘Rete’ notice, or from the local goverment )

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address Lot on plan description
Und | Strest Pian ype and Local govemment area (e.g. Logan,
No. | No. Street Name and official suburb/localty name —_} Post Code | Lof No. Plan Number Caims)
[4 2 {10 — | Piper Steet, Peregian Beach 4873 2 — [Rup ub18 | Sunsnine Coast Regional Council
AND/ OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lol, in water (e.9. channel dredging in Moreton
Bay) etc.)
Coordinates
(Note: place each set of coordinates in a separate row) Zone Datum Local government area
Easting Northing Latitude Longitude | Reference (#f applicable)
1 [~ oepasa
f- wose4
Other -

 

 

 

 

 

 

 

 

 

 

2. Identify if any of the following apply to the premises by completing Tables D, €, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)