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09/0940 - Op works - Jetty [As Published] · 142009.940
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INTEGRATED PLANNING ACT 1997 Part A, Version 3.4, 3 March 2008
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NOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for athiefo! to wo
information provided on the IDAS Application Form is correct. This information is retied upon by the Assessment Manager and any y referral agencies winen 1 assessing arid
deciding this application.” By lodging this application, the Applicant it incurs the obligations and responsibilities prescribed te the IPA, Any development pet or, preliminary”
approval ial may be issued as a consequence of this application will be issued to the Applicarit.) “te
Company/organisation name {if applicable) [Pite-t Pty Ltd Va Noosa Jetty Builders |
individual applicant/Contact person {if there is more than one applicant, provide additional applicant details on an attachment to this form)
Title Mrs Firstname {Emma Last name
Postal address [Po Box 299 Noosaville QLD 4566 ‘|
Contact telephone number Mobile phone number
Facsimile number 07 5474 3480 e-mail 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) boned ‘ ee}
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 go to Q2.
i o_— Name of each local govemment area in which the mobile and temporary ERA is proposéd to operate *
| 1
OR
Table B Street address for the premises (tick applicable box/es below and insert property description i in the table. Identify each lot in a separate row.)
() [£] Street address / lot on plan for the premises (Appropriate for most applications including building applications): Of
(i) JX] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
Pontoon etc) (Note: Loton plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government.)
‘ “yt . StreetAddress et ke Lot on plan description, .
“nt Tsreatl — Plan type and Local govemment area (e.g. Logan.
No. | No.’| “street Name and official suburb/ocality name...) Post Code | Lot No. Pian Number | Cairns) oe a
[ 1 3 Watreside Crt, Noosaville QLD 4566 759 RP906962 Sunshine Coast Regionat Council
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.g. channel dredging in Moreton
Bay) etc.)
Aw Coordinates . wos .
(Note: place each set af coordinates ina separate row) Zone Daturri ' Local government area
|. Easting. -|° -Northing- }- Latitude | Longitude | Reference Tak | ft appeal)
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2. Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, 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)
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