08/1127 - MCU - Entertaining & Dining Business Type 1 - Food & Beverages [As Published] · 132008.1127

Part A, Version 3.1, 3 March 2008

   

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Common details

INOTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how to complete this form.

‘Applicant details (The Appicant is the person responsible for making the application and need not be the owner of the tand. The Applicant Is responsible for ensuring the
information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and
‘deciding this appication. By lodging this application, the Appicant incurs the obligations end responsibisties prescribed by the IPA. Any development permit or preliminary
lapproval that may be issued es a consequence of this application will be issued to the Applicant) _ .

 

Company/organisation name (if applicable} Is & S Ball Super Fund

 

Individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment fo this form)

@ Title [ar Firstname {Simon Lastname [Ball

Postal address fou. Ken Hicks & Associates, PO Box 6380, MAROOCHYDORE BC QLD 4558

Contact telephone number {0754432844 Mobile phone number [osoo77 eH \ 1 >

2,
Facsimile number [0754437146 e-mail address [sg6tt S30 @kentih com x”
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3 EDP
Details of the premises (le. the land on which the developments propased - refer to the advice atthe end ofthe / 0 Juy 2008 }
1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate informakort vO RE Gent tho premises) {So

Table A Ifthe application is for a mobile and temporary Environmentally Relevant Activity (ERA), complet Siyareg gyda i

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[ Name of each local govemment area in which the mobile and temporary ERA is Proposed igroperats  * \

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OR

Table 8 Street address for the premises (tick 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 mast applications including building applications); OF

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

(i) (DJ Street address /ot on plan for the land adjoining or adjacent to the Premises (Appropriate for development in water o.g. jetty,
pontoon etc) (Note: Loton plan details may be obtained from tite documents, a ‘Rete’ notice, or from the local goverment )

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

| —
thi | Sweet Steet Address Lotion ee Local goverment area (e.g. Logan,
No. | No. Street Name and official suburb/locality name —_| Post Cade } Lot No. Plan Number Caims)
[ 4 | Shop | 187 | Gympie Terrace, Noosaville 4566 4 GTP2026 Sunshine Coast Regional Council
4
AND/OR
Table C 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.)
Coordinates
(Note: place each set of coordinates in a seperate row) Zone Local government area
Reference Datum (if epplicable)
Easting Northing Latitude Longitude
1 [7 ocpas4
f— woses
[7 Other -

 

 

 

 

 

 

 

 

 

 

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 of move of these characteristics - complete only if applicable)