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08/0811 - MCU - Detached House [As Published] · 132008.811
at
a INTEGRATED PLANNING ACT 1807 Part A, Version 3.1, 3 March 2008
or —
Form 1 Development Application
Part A
. ~7
Common details ; hay 2 200g
, CRO - Te ay
Cabn héwcto, compl ‘this form”
‘
Applicant details (Tha Applicant is the person responsible for making the application an and need not be the owner OF the land.
information provided on the {DAS Application Form is correct. This information is relied upon by the Asséssn
deciding this application. . By /odging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA, ‘ny dee pinent p
approval that may be issued as 2 consequence of this application will be issued fo the Applicant:}
Company/organisation name (if applicable) [Michael Fenis
Individual applicant/Contact person (/f there is more than one applicant, provide additional applicant details on an attachment to this form)
Title . Ms. .|Firstname [Nadine {Lastname — |Gorton :
Postal address Icr Martoo Consulting Po Box: 1684 Noosa Heads Q 4567
we
Contact telephone number. 15455 5425 "| Mobile phone number :
Facsimile number 5455 $725 : email address [email protected]
Details of the premises (ie. the land on which the development is proposed - refer to the advice at the end of the form) “4 }
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 Ifthe application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2,
4
[ ‘Name of each local govemment area in which the mobile and temporary ERA is proposed tooperate
{4
OR : : ” to
TableB Street address for the premises (tick applicable box/es below and insert property description in the table, Identify each fol in a separate row.)
‘XJ Street address / lot on plan for the premises (Appropriate for most applications including bullding applications); or
(i) (7) Street address Alot on pian for the land adjoining or adjacent to the premises (Appropriate for development in water @.9. jetty,
@ pee Lofon plan detais may be oblained fram tite documents, a ‘Rate’ notice, or from the local government.) .
~ Uni Seat] Street res name» | Post Code vat 7 Bana ‘on en (69 Soper
Now} No. fo. oo fi 2 ae =) = 3 | Plan Number. ee
- [4 8 —_| Noosa Parade Noosa Heads 456713 N 21844 Sunshine Coast Regional Counca
AND/OR,
Table C Coordinates and/or a map of the premises (Appropriate fr development i in remote areas, aver part of a lot, in water (a.9. channel dredging in Moreton
Bay) ate)
Coordinates . eo" , } He
le: floce each sto eoornte ino separate row) Zone i * Datum : Local government area:
eEasting- ":] -Norhing =] Latitude: “|* Longiude “a { Reference, Jo" (f applicabie)
cep th eo It
1 [ pcpas
J wesed
[7 Other -
FJ .
. 2. Identify if any of the follawing apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will nol involve any of
the following characteristics, however some applications may involve one or mara of these characteristics - ~ complete only # eppficable)
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