08/1166 - Preliminary Building Works assessable against the Planning [As Published] · 172008.1166

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

 
     

Part A

Common details

  
   
 

  

NOTE: Answer all questions untess directed to go to a particular question, Refer to the end of the form foradvice on/how

‘Applicant detalls (The Applicant is the person responsible for making the application and need not be the owner of the land. The Appitahbiersepernsfole for ensuring the
information | provided ¢ ‘on the {DAS Application Form Js correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and
i By lodging this oa the Applicant incurs the oitgations and responsibilities prescribed by the IPA. Any development permit or preliminary
iwill fed to the Applicant.)

  
 

 

 

 

 

 

 

 

 

 

 

 

 
 
   
 

 

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[Details of the premises (ie, the /and on which the devetopr posed ~ refer to the advice at the end of the form): <*_

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. Ten 90 to 2,
ga SR ‘Name:of each local Governientarea in-Wwhich the'‘mobile afid temporary ERA‘Is proposed to. Operate! i

 

     

 

1.

 

 

 

 

OR
Table8 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) [2 Street address fot 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 is may be obtained irom title documents, @ ‘Rate’ notice, or from the local. government, )
Tr >

  

 

 

 

 

 

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BLACK MOUNTAN gbat

 

 

 

 

 

 

 

AND/OR
Table c Coordinates andlor a map of the premises (Approprists for davelopment in remote areas, over part of a lot, in wate (69. chanel cecg in Moreton Bay) etc.)

 

 

 

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