08/0464 - Operational Works - Transport Type 5 - Domestic Marine (Jetty) [As Published] · 142008.464

    

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

pplicant details ‘7h: Agp’c.nl 1s the perso responsite for miiking the Cpa ten and ned not be the omer of the land The App <.
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rite hE ay te 3500 5B conse We OFT 5 LOE Setto 1. Ue babi vette: App ecu}

 

    

 

 

 

Company/organisation name {if applicable) [Pite-tt Pty Ltd t/a Noosa Jetty Builders

 

Individual applicant/Contact person (If there is more than one applicant, provide addtional applicant details on an attachment to this form)

Postal address [po Box 299, Noosaville. QLD 4566

Contact telephone number 07 5474 3480 Mobile phone number 0408 137 526
Facsimile number (07 5474 3480 e-mail address [email protected]

 

 

 

 

 

 

 

 

 

 

 

 

 

[Details of the prenuses Ge te Lend on w" ch the daveopmentis propaved ~sefer to the vine et ine end cf the Forma} 1
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 _{f the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 

 

[ Name of each local government area in which the mobile and temporary ERA is proposed to operate |
[|_1

 

 

 

 

OR
Table B Street address for the premises (tick applicable box/es below and insert praperty description in the table. Identify each lot in a separate row.)

(i) {_] Street address / lot on plan for the premises (Appropriate for most applications inchiding building applications); OF

(li) )X] Street address Aot 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 govemment)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tat | Sveet Steet Address Lot on eee ‘Local goverriment area (2.9. ‘Logan, |
No. | No. Street Name and official suburbllocalay name . | Post Code Lot No. Plan h Caims) |
1 10 L The Promontary, Noosa Waters 4566 85 RP842151 Noosa
SLAs ee
AND/OR
TableC 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.)
- Coordinates :
(Note: place cach sot of coordingtes ina separate tow) Zone Daturn Local government area
Easting Northing | Latitude | Longitude | Reference {tf applicabte)
1 (J ocpass
C2 wesea
( 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 these characteristics - complete only if applicable)