10/0632 - Prescribed Tidal Works - Pontoon - Gympie Tc [As Published] · 142010.632

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

  

 

 

 

 

Company/organisation name (if applicable) aT SA YACHT Ans 9 Roy DING Cev 4 =

Individual applicanContact person (if there is more than one applicant. provide additional applicant details on an attachment to this form)

First name PETER Lasiname | REL eS (4 ped.

@ Postal address P.0 Box 49 TewAwe tim 4c OV |

Contact telephone number S449 y G ©) “dh || Mobile phone number
Facsimile number se #10 e-mail address Adpt: J @ WHY &C, COM. Aw

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Details of the prémises flo. the land « im af the-end ‘of the foc ni)

 

1. Identify the premises by completing Table A, or Table B andjor Table Cc (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.

L

OR
Table B Street address for the premises (tick applicable box/es below and insert property description in the table identify gach lot in a separate row j

 

 

the mobile’ and temporary-ERA is proposed to operate”

 

 

 

[1

 

 

(i) [7] Street address / lot on plan for the premises (Appropriate for most applications including building applications): OF

(ii) Xj Street address Alot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e@ pontoon etc) (Note: Loton plan details may be obtained from tile decumenis, a ‘Rate’ nolice, or from the local government}
Unit | Street
No. No. 5 " : t : a a
1 4566 100 SP208113 Sunshine Coast Regional Council
AND/OR
Table © Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a Jot, in water (e.g. channel dredging in Moreton
Bay) alc.)
Easting : T 2 i : .
1 [_j oGoas4
7] wesea
(J 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 or more of ihese characteristics - complete only if applicable)