08/1070 - MCU - Detached House [As Published] · 132008.1070

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, J March 2008—

Form 1 Development Application

 

Part A

Common details

 

NOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how fo complete this forr-

tre

' Applicant details (The Applicant i is the person responsible for making the appli cation and need not be the owner of the land. The Applicant is responsible for ensuring the
_ information provided on the [DAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and =‘
; deciding this application. By lodging this appiication, the Applicant incurs the obligations and responsibilities prescribed by the IPA. Any development permit or preliminary
. approval that may be issued as a consequence of this application will be issued to the Applicant.)

 

 

Company or organisation name (If applicable) PETS HOLY ARANITBA PTN LTO

Individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)

Last
name | RHYULAN

 

 

 

Title] tA = Firstname | Perey

 

 

 

 

 

 

 

 

 

 

Postal address |P op, Ade 457 NCOSNEACS io 4S6%
Contact telephone number |CO'] Seq 4O779 Mobile phone number] Ono? S14a23

Facsimile number |O- SASS 4677 e-mail address pete @ coke rullerdhiteas

 

 

 

 

 

 

 

 

 

 

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‘Details of the premises fie. the land on which the development i is proposed ~ refer to the advice at the end of the cm

-

1, Identify the premises by completing Table A, or Table 8 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 02.
Name of each tocal goverment area in which the mobile and temporary ERA is proposed to operate

 

 

1,

 

 

 

OR

TableB Street address for the premises (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

(i) [J Street address Aot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty, pontoon
etc) (Note: Lot on plan details may be obtained from title documents, a ‘Rate’ notice, or from the local goverment.)

 

 

A _
Street address Lot on plan description — Local government area (e.g.
Unit Street . Post - Plan type and Logan, Caims)

No. No. Street Name and official suburb/locality name Code Lot No. Plan Number

 

1. |522| G! KOCK SPaINGS DIVE [4569/22 905 0g SckRe.
Noeta HOOOS )

 

 

 

 

 

 

 

 

 

 

 

 

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.9. channel dredging in Moreton Bay) etc.)
Coordinates
(Note: place each set of coordinates in a separate row) Zone Datum Local government area
: Reference (if applicable)
Easting Northing Latitude Longitude
1, Lj Gpao4 (_] wese4
{| Other

 

 

 

 

 

 

 

 

 

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