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08/0946 - MCU - Detached House [As Published] · 132008.946
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek. lake, canal)
Name of water ‘body, watercourse or aquifer (if known)
[1 | weypa creek a)
Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994 fe jose!
@
Lot on plan description for strategic port nd SS ti(‘dLSttttsstst~s~S™:s«S Auth gig the lot
[i [hj RECS
Table F Complete if the premises are in tidal water “Fy aMAY 7008
Name of local government for the tidal area (i applicable) | Name of port authori forthe waa area ca applicaheh ty
l! iat counter é
3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may includeYe
} Total area of premises
615.00 m2 [_] hectares (Tick applicable unit)
{Existing use of the premises i
4. — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming eic.)
| 1 | Vacant Land |
5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?
kK No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
[Proposal details |
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 fot residential subdivision, a bore, aquaculture)
Detached Dwelling
7. Does the poposal include new buildings or operational work (including any services) on the premises?
No XX] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
{Resource entitlement (# applicable) - further mfarmation is provided in the advice section ai the end of the foun |
8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)
XK No - Got ag | Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or eniitiement must be submitted with the application. You do not need to answer Q9 - go ta the next section.
Owners CONSENL ( applcab'e) - further infurmation 1s provided in the advice section at the end of the form }
9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport infrastructure Act 1994 - provide details for each owner on a separate row, of on an allachment to this form if applicable.
Table H Premises Owners namels Details of the premises owned . Date consent |
and postal address {street address or fot on plan description) Owners signature was obtained
49 Wyuna Drive, Noosaville and described
1 |Dublin Street Pty Ltd (TE) | 2° oh >a on N10575
8 April 2008
* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .
achments and supporting information {Complete fzble? - Use a separate row fo: each type of att..chient or intonation, including information required
inde: this Part) Please ensure alf documentation submitted with this form, including other Parts of Form 1, or owner's conser, ec, are securely attached to this Part of the Form.
Description of attachment ar information Tit ; ,
, - le (if applicable) Method of delivery to
Table | (eg. Patt ce of Form | L sabapacapiatin of resouce (eg General Authority, James Steet Trafic Re Date assessment manager
1 Part D, owners consent, plans, drawing over the counter
report and IDAS Assessment Checklist
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