09/1474 - Preliminary Building Works [As Published] · 172009.1474

 

INTEGRATED PLANNING ACT 1897

 

Part A, Version 3.1, 3 March 2008

 

 

 

 

 

 

 

 

7 FT ve
Individual appiican/Contact person,

  

    

 

(if théro is more than’ one applicant, provide ai

i= =
licantidetalts on an attachment to this form)

 

 

 

 

Postal-address ~~" ~

[Po Box 1054 MAROOCHYDORE” C 4558

 

ae es) een ir A HM

 

Contact telephone number

(07) 5443 7288

Mobiléphone number

 

 

Facsimile number

(07) 5443 8816

 

e-mail address

[email protected] the premises by ‘completing Tbe A, or Table B and/or Table C vensure scot formation is given to identify the premises)
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Tabla A only. Then go to Q2,

 

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Lal

 

 

OR
TableB Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each fot in a separate row.)

(i) (] Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

(i) [[] Street address /lot on plan for the tand adjoining or adjacent to the premises (4ppropiiate for development in water e.g. jetty,
pontoon etc) (Note: Loton pian details may be obtained from title documents, a ‘Rate’ notice, or from the local govemment.)

44

Plover Street, Peregian Beach

4573 5

P9313

Sunshine Caast Regional Council

 

AND/OR
TableC Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a fot, in water (e.g. channel dredging in Moreton

Bay) etc.)

 

 

 

    

     

ae

nes

 

 

L1

 

 

 

 

 

io DGDAG
(Cl weses

[7] other -

 

 

 

2,

Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instancas, the premises will not involve any of

the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable}