08/1616 - Preliminary Building Works Assessable Against the Planning Scheme [As Published] · 172008.1616

 

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 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 to complete this form.

Applicant details (7he Applicant is the person responsible far making the application and need nol be the owner of the land. The Applicant is responsible for ensuring the
information provided on the IDAS Application Form is correc!. This information is relied upon by the Assessment Manager and any referral agencies when assessing and
deciding this application. By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA. Any development permit or preliminary
approval that may be issued as @ consequence of this application will be issued to the Applicant.)

Company or organisation name (applet) Wt £™M 9. gu: \ eng Sew Gus moet 8 al

 

    
   

 

   

 

 

 

First name

 

 

 

 

 

 

 

 

 

 

Postal address Ro ox lossy Mav aochuy doye YQ GSK
Contact telephone number oF MY, Vass & Mobile phone number|

Facsimile number (os\ Sue, SSI& e-mail nin ss ncer® becporcl Nel. qu!

Details of the premises (i. the land on which the development is proposed - refer to tha advice at ihe end of the form)

 

 

 

 

 

 

 

 

 

 

 

 

1. Identify the premises by completing Table A, or Table B 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 goto Q2
Name of each local government area in which the mobile and temporary ERA is proposed to operate

 

 

1.

 

 

 

 

OR

Table 8 Street address for the premises (~ applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
(i) (2) Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

(ii) [2] Street address /lot on plan for the and adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty, pontoon
etc) (Note: Lat on plan details may be oblained from {title documents, a ‘Rate’ notice, or from the local government.)

 

 

Street address Lot on plan description
Local government area (e.g.
Unit ‘Street . i Post Plan type and Logan, Cairns}
No. No, Street Name and official suburbvlocality name Code Lot No. Plan Number

 

1 (i | Adéane 0, 4s6y 1 | RP 44083 | Sere
Nac Heads -

 

 

 

 

 

 

 

 

 

 

AND/OR
Table C Coordinates and/or a map of the premises (Appropate for development in remote areas, over part of a bol, in waler (2.9. channel dredging in Moreton Bay) etc.)
Coordinates
(Note: place each set of coordinates in a separate row) R Zone Datum Local government area
~ ~ - ‘eference (Hf applicable)
Easting Nosthing Latitude Longitude
1. CD cpas4 (1 wese4
C Other

 

 

 

 

 

 

 

 

 

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