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08/0613 - Operational Works - Prescribed Tidal Work - Transport Type 5 (Jetty) [As Published] · 142008.613
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
‘Applicant detains (he App cunt is iimep ‘son responses for tn.:s2.9 the app: ccton and &._ a nat be the oFtex of ties end The
pation pronded on the [DAS Appicetan Fonts comect This ntunr-:nans relied upon by ‘he Assessment Matt :3.1 and any referral agence"
beat aE i 2 ne the App cent many the obfigstions ang retpansb’ 25 presaded by the IPA. Any devcopr.
sa ht ray be? : if POS 3 be fsued to tes Ap eee
Company/organisation name {if applicable) [Pite-tt Pty Ltd fa Noosa Jetty Builders
individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)
Postal address [PO Box 299. Noosaville. QLD 4566
Contact telephone number |07 5474 3480 Mobile phone number 10408 137 526
Facsimile number 07 5474 3480 e-mail address dhejreed@bigpond net.au
‘Details of the premises pe the kunden which the dcyclopment s proposed _ refer tu the advice at the eiit-of the form) . 4
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 If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.
L "Name of each focal government area in which the mobile and temporary ERA is proposed to operate
| 1
OR
Table8 Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
(i) Street address / lot on plan for the premises (Appropriate for most applications including building applications): OF
pr
@ (ii) [[] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoan etc} (Note: Loton plan details may be obtained from title documents, a Rate’ notice, or from the local government.)
_ a TT ae mee : er
ik Sree s eet Adress = Loton eeecke Local government area (2,9. Logan, |
No. | No. Street Name and official suburblocalty name | Post Code} tot No. Pian Number Caims} \
4 17 Key Crt, Noosa Heads. QLD 4567 172 RP214930 Sunshine Coast Regional Council Noosa Office
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.g. channel dredging in Moreton
Bay) etc.)
a Coordinates - ° |
(Note: p'ice cath sal of coordinsies in a separete row} Zone Daturn Local government area |
Easting Northing Latitude | Longitude | Reference} (thapplicable}
1 (FJ dcoae4
( weses
(I Other -
2. _ Identify if any of the following apply to the premises by completing Tables D, E, 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)
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