08/1928 - Preliminary Building Approval [As Published] · 172008.1928

INTEGRATED PLANNING ACT 1997

_ PartA, Version 3.1, 3 March .

 

Common details

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

Appl icant details (The Applicant is the person responsible for making the application and need not be the owner of the fanid. The Applicant is tesponsiite for ensus fing the
information provided on the (OAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies wher ussessing and
deciding this apphcation. By lodging this application, the Applicant incurs the obligations and responsibifiies prescribed by the IPA. Any development pernit or preininary
approval that may ve issued as a consequence of his application will be issued to the Applicant.)

Company or organisation name (ifappicable) §— | Tp foary Uage S Ch Suncea sf Bi Uden . A UU i.

Individual applicant/Contact person {If there is more than ona applicant, Provide acawote appuvarn Ustne veer mn
re | First name Tobn ‘ast bel .
. 7 1
"Postal address | p. 0. Box 1oSyY ANenowthiyloe GO “ere
wet ees - . — re a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

 

 

 

 

 

. ara Contachtélephone numbe : Sul? 32¢¢ Tenge ‘| Mobi phonernumtber re one ate ea ae
. " yoy
Facsimile number . e-mail addressiSccpr¢ 69 GOL?/ ¢ icy. yert.a2
SU4s $ SIE @bigP CH rer aes

 

 

 

Details of the premises (ie. the fand on which the development is proposed — rafur fo tha advice al the ent of the forr)

1, Identify the premises by completing Table A, or Table B andlor Table C (ensure adequate information is given {o identity 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.
Name of each local government area in which the mobile and temparary ERA is proposed to operate

 

 

1.

 

 

 

 

OR /

Table B Streét address for the premises ( applicable boxes below and insert properly descaption i the table Identity egch ctrl a sepersie fo
{i) Street address / lot on pian for the premises (Appropriate for most applications including building applications); OF

(i) (1 Street address Aot on plan for the land adjoining or adjacent to the premises (Appropriata for development in water 9.9. jetty, pontoon
etc} (Note: Lot on plan details may be oblained from tile documents, a ‘Rate’ notice, or from the local government.)

 

 

 

 

 

 

 

 

 

 

 

 

Street address Lot on plan description Local government area (e.g,
Unit Siget Street Name and official suburbvlocalily name on Lot No. on vps end togan, Calms)
x ‘ / LeatasR 7eaD ns 5@3 7h Sf SUSIE
bencr CATH 498 (S 70%") COR ST
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a fot, in waler (e.g. channel dredging in Moreton Bay} atc.)
Coordinates
(Note: place each set of coordinates In a separate ow) Renn ce Datum Local oe otoab nt area
Easting Northing + Latitude Longitude {if applicable)
1. : Ccoas4 (] wese4
{J Other

 

 

 

 

 

 

 

 

 

 

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