Development Application Part 1 IDAS Forms 1 & 28 · OPW10/2184

12. What type of approval is being sought?
     development permit
q    preliminary approval
q both - provide details below


3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?


® No
M Yes - complete table A and then qo to question 5




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

f Table B - street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
 premises

                                                                                   Lot on plan
                Street Address
                                                                                   description
                                                                                                        Local government area
                Unit    Street       Street name and official          Post             Plan type         (e.g. Logan,Cairns)
                                                                               Lot No.
                No.      No,          suburb/locality name             code            and plan no.

                                                                                                      Sunshine coast regional
            1           45       Witta circle                      4565 1111           N.218.45
                                                                                                      council
q Street address / lot on plan
    Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in


Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)

                Coordinates (note: place each set of                   1     Zone                           Local government
                coordinates in a separate row)                                             Datum
                                                                           reference                        area (If applicable)
                 Easting         Northing       Latitude   Longitude                                                                  I
                                                                                       q GDA94
                                                                                       q WGS84
            1
                                                                                       q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)
608m2
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)


        1       house



7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

Timber jetty




                                                                                                                        IDAS form 1
                                                                                                      Version 1 0 18 December 2009