07/2024 - Op Works - Access, S/Water & Frontage [As Published] · 142007.2024

 

INTEGRATED PANNING ACT 169/

   
 
 

 

Set Pee Ponies tel

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Pan A, Vernon 2.4, 2 May 2005

   

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Tha comppion lace atest on Part Ais gnendatory for a¥ applications, Pari A mat be accompanied by he completed IAS Asseasment Check(at
taguied, and by one (1) of meve other completes earls of the Form as required. Fox mdre ittformation on the parts of the Form refer to wwina, Cid, Gov. au.
_ BY Stlrmaton requested in the form may b= provides in an tachment EO the appicaton, For further inorston hour coamplating the following details, refer ta Gu ide,

Description oftand “YW

Alitaial (hw auijogl ofthe @apication, masmoe
iden ad, Moswaver; # sencrip lool te and is FA _
teudrel in Astionty a rabies os tempoaety
Esvronmontétly Reielem Accviy (ERA). ”
Advicafor completa O2-C2zayiaZ
Gevelapment!s ropes wt webiDodytr

  

Beer engin i SCAN
CENRES by a meee Tregedeu
. Cat be ebtaad Irésn Sd cheat ho,

weal goremnmatt, 5 wae
Hover, ifthe hand on ich he deuclopmrentiy,
proposed doss got hive él. on plan dexcriotor fi,
Pee ena: taipor

 
  

   

 
   
   

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‘CGE contd where theta 6 10°

* 8eiNagltdjacint!
7, does wol eppty tthe

Saelcnsig a wdioe Seay er WatareoRtg,

 

Adee eels Barter? Ig
Sevetonment fs if B koe OMAN area i
hol NOOBA Re. Cua | !

Note: Awoe below Regn insteemisegre ape thle 2.
hal goaromert’s arax'ontess prantad ier ued tie
LocalQondmmbnt Ad 1282"!

1. 9 w YY aps if

  

peeled ge wt For oyre doles (tir to Guida tf

 

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(9 neastion Bin), * o 5

Steet address: fretting hore number, sheet name, suburtvTocelty navne & postoods) (if applicable)

ITS Giant SReet Moose Heacts |

Name of water body o: watercourse, within whieh the evelopment ls proposed: (# opplixabe)

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comme tee

‘Lot on plan desctiption (eg. Lct $23 on RP 4567}/-GPS coordinates:

(Cet 12” SP 74379” |

~The above description is for: tak applicatie box}

9 {}- the land on which the develapment is.proposed; or

~ (34): the jane adjoining the water body or-watercoutse, within which the development ig

proposed: o
Oo {ith the water body ot wabtroourse.
Shop Henancy number. <6," - Storey /tevel: 2, Total area of land: (nrorha):

 

 

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Loces government area in which the land Is situated: to Esk, Higtvay Bay. Wooedo ste.) (i eopicebie)

Port authority for the strategic. ort iand or-strategi¢ port land tidal ares on which the
evelopment Is proposed: {eg Pot of Brishamy, Pert of Fowmevils) (if applicable)

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Advice for completing, 09 a
developers on stetege atid ora siden: ae
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Proposareale, 110, Existing use of the land: fog. veh, single house, shop ete .
hen is leslie 1
potato (Vacant |
41. Proposed useofthe land: (og. ime par rsment buteng, 30 lof residential subdivision, ERA for aquecutture In
PENG WH) 3 tetet area of 7 ha for which wastes ao released into wators ett).
| __]
Other applicable parts of Form 4 412, Other parts of Form 1 compléted:as part of this application: (eg. Part 0, Part J, eic)
Pon A rns adways tie serompeked by ot.ar 7
chinpiated pansofform 1, For anfstmation aboyt -
Se oat fT) toa te 2 lL . ne cee :
‘ 43, Applicant's name: * “45, Contact person:
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» Lo ae _
. Contect number: we 18. Saosimile numberle-mail address:
f ;
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r. Postaaddress
. Signature: / : 19, Dare L
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