09/0986 - Preliminary Building Approval [As Published] · 172009.986

 

INTEGRATED PLANNING ACT 1997 . Part A, Version 3.1, 3 March 2008

  
  
  
   

 

Part A

Common details

NOTE: Answer all questions unless directed to go toa particular qu

Ppa oa ROR
jerSson responsible for making the and need 1
“This,information is rélied upon by the Asse:

estion. Refer to the end of the form for advice on how to complete this form.

fe for et the:

    
     
 

 

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{ Individual applicanUCantact pérson (if there is more than one applicant, provide ‘additional applicant details on an attachment to this form) __ ee

 

Company or organisation nairne (if epplicabis)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tite First ame Last : '

Prickett | QD. WA DTA _NamsdSiy SOF

Contact telephone number Mobiie'phoné umber QHAT BH VO \ /
Facsimile number BWISiw9a 6X e:rhail address RESSeRRTEP OTSA H Lenard

 

 

 

 

 

 

  

       

Salient pet

“Betas ofthe eremises

      

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4. 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.
an. “7, Name of each local government area in which the mobile.and temporary ERA Is proposed to operate 3

Coad Se erin, Xeni dk Necks XS So

i ey ae my am tes stn on
Tah which the development is proposed — ete fone ai,

 

 

  

 

 

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OR
Table B Street address for the premises (~ applicable box/es below and insert property description in the table. Identify each lot ina separate row.)
0 O Street address / lot on plan for the premises (Appropriate for most applications including building applications); Of -

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

 

     
 

 

 

 

 

 

 

 

 

 

 

Street address "|. Lot‘on plan.des ‘ bocal aver
aT SST rer secrecy wore | tay || Barts |
1. Tn | Beep Se WEET[ VG | 2YS
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AND/OR .
Table Coordinates and/or a map of the premises (Appropiste for development in remote areas, over part of a fot, in water (6.9. channel dredging in Méreton Bay) etc.)

 
 

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