02/1602 - Operational Works - Transport Type 5 - Domestic Marine - Jetty [As Published] · 142008.1602

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

Form 1 Development Application

 

Part A |

Common details

OTE: 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.|

  

 

 

 

 

Company/organisation name (if applicable) [Pite-t Pty Ltd fa Noosa Jetty Builders

 

 

 

 

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

Postal PO Box 299, Noosaville. QLD 4566

07 5474 3480 Mobile phone number 0408 137 526

7 5474 3480 e-mail address [email protected]

Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 
 

OR
TableB Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate raw.)
|

() (J Street address / lot on plan for the premises (Appropriate for most applications inctuding building applications): OF

(li) Bé] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water eg. jetty,
pontoon etc) (Note: Loton plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government)

    
   

 

AND / OR |

Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of lot, in water (e.g. channel dredging in Moretpn
Bay) etc.) |

  
 
  
 

   

CO dcpag
CI weses

F Otter -

 

    
 

 

 

 

 

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 af
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable} !