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OPW11/0329 Development Application part 1 of 2 IDAS Application Form 1,6 & Assessment Checklist

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2. 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

q    Yes - complete table A and then go to question 5




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

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           46       Masthead Quay, Noosaville      4566       611       rp883864
                                                                                                    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
® water e.g. jetty, pontoon)
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
                coordinates in a separate row)                          Zone                               Local government
                                                                                         Datum
                                                                      reference                           area (If applicable)
                  Easting        Northing    Latitude   Longitude
                                                                                     q GDA94
                                                                                     q WGS84
                                                                                     q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)

865m2
6. Current usels 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




                                                                                                          ;n De,    - !D:= S form 1
                                                                                                    Version 1.0 18 Drcec !-er 2009

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