07/0967 - MCU - Detached House [As Published] · 132007.967

Part A, Version 2.2, 25 July 2005

  

 

 

 

 

 
  

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Common details *

 

The completion of all applicable questions on Part A is mandatory for all applications, Part A must be accompanied by the completed IDAS Assessment Checklist if
Tequired, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.qld.gov.au.
Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1.

 

 

 

Description of land 4. Street address: fncludinghouse number, street name, suburb/iocality name & postcode) {if applicable)

All land the subject of the application, must be a

ented However a Seton lan | 177 Shorehaven Drive,Noosa Waters, 4566 |
Caireeneatay Reto hea (eran 2. Name of water body or watercourse, within which the development is proposed: (if applicable)

 

Advice for completing Q2 - 02 appties if [
development is proposed within a water body or

 

 

 

watecourse. 3. Lot on plan description (eg. Lot 123 on RP 4567) / GPS coordinates:

Advice for completing Q3 - Most land can be

identified by a lot on plan description, These details | Lot 710 on SP100034 |
ined from ti is or through the ee

a norament Me dacuments ortwovan'te | 4 The above description is for: (tick applicable box)

However, if the land on which the development is _ {I (i) _ the land on which the development is proposed; or

 Syinenieind: aban omer we onailiag {1 (il) the tand adjoining the water body or watercourse, within which the development is

watercourse) provide proposed; or

Oe inabaetied oe Lill) the water body or watercourse.

ii) GPS coordinates where there i

" eiingfciacent land | (eg. “Moreton Bay). 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (m? of ha):

 

Advice for completing Q7 - Q7 does not apply if the
development is within a water body of watercourse.
Advice for completing Q8 - 08 applies if 8
development is within a focal government area, .
Note: Areas below high water mark are not within a
local government's area unless provided for under the ie ' - -
Local Government Act 1993. 9. A AN ee wetteuic port land or strategic port land tidal area on which the
Advice for completing Q9 - Q9 applies if ew i

development is on strategic port land or a strategic
portland tidal area. For more details refer to Guide 11.

| 809

ituated: (eg. Esk, Hervey Bay, Woocon etc.) (if applicable)

 

 

 

 

 

Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
If there is insufficient room available, details may be
provided in an attachment to the application. Vacant |

 

11. Proposed use of the land: (eg. 6 unit apartment buikting, 30 fot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters etc).

| Single Storey Residence |

 

 

 

 

Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part 1, etc)
Part A must always be accompanied by other [ A BandO
compteted parts of Form 1. For information about 2

 

when a part of Form 1 may apply refer to Guide 1.

 

 

 

 

Applicant details 13. Applicant's name: 15. Contact person:

ere ently who is making he appicaion. The | Paul CLout Design ‘| [ Nathan Kenzler |
applicant need not owner of the tand.

When signing and todging this application 14. Contact number: 16. Facsimile number/e-mail address
idan abel ae [ (07) 5440 5388 | [(07) 5440 5399 |

 

manager, any referral agency & the Chief Executive .
(where applicable) wil rely on this information when | 17. Postal address:

assessing and deciding the application. "
if the applicant is a company - a contact person | PO Box 152 Noosaville, 4566 |
. Signature: 19. Date ,

Must be shown. 18.
Wa AZ| LT

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