07/0261 - Op Works - Transport Type 5 - Domestic Marine (Jetty) [As Published] · 142007.261

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INTEGRATED PLANNING ACT 1997

Form 1 Development Application

V Common details

Part A, Version 2.4, 29 May 2006

    

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The comptetion of all applicable questions on Part A is mandatory for alt applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
required, 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.ckd.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 Jand 1. Street address: fnelucinghouse number, street name, suburbvlocality name & postcode) {if applicable)
Alltand the subject of the application, must be i *
identified. However, a description of the land is not [ {4 3 Sheorehaven det ve.
ited in retati bi va . . yn

ee eal Retort teh (ERA 2. Name of water body or watercourse, within which the development is proposed: (ifapplicabie)
Adyice for completing Q2 - Q2 apples if V,
development is proposed wilhin a water body or | [ CORK Lh tas
walcourse 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 | Lo ft 7 6 g kg PIO ¥2 gS }
can be obtained from title documents or through the ge
focal goverment. ons or vou 4. The above description is for: {tick applicable box)
However ihe don which te development oe the land on which the development is proposed; or
proposed does nof have a lot on pian description (i.e. fe hoe ape ‘ .
the development Is proposed in 1 waterbody or é (ii) the land adjoining the water body or watercourse, within which the development is
nocae provide - ttn or proposed; or
i} the lot on plan description for the se

adjoining/adjacent tand; or Lo ii) the water body or watercourse.
(i) GPS coordinates where there is no

adjoiningladjacent tand (ag. in Moreton Bay). 5. Shop / tenancy number 6. Storey / level: 7. Total area of land: (m or ha):
Advice for completing Q7 - 07 does not apply if the 2
development is within a water body or watercourse. h L ! GAG, x _
Advice for completing Q8 - Q8 apptes if an whi fe ei . ff annie
development is within a local covennert area. 8. Local government area in which the land is situated: feg. Esk, Hervey Bay, Woocoo etc) (if applicable)
Note: Areas below high water mark are not within a : .
focal government's atea unless provided for under the L Noosa,
Local Gavemment Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the

icp for completing Q9 - i + . . , 1 .
brtinees somal ee ogie ot antes A strategic development is proposed: (eg. Port of Brisbane, Port of Townsville) {if applicable)
port land tidal area, For more details refer to Guide 14 [ L A feo Sz }
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
lf there is insufficient room available, details may be [ t |
provided in an attachment to the application. Aue Lakh
11. Proposed use of the tand: (eg. 6 unit apartment building, 30 Jot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters etc).
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Other applicable parts of Form 1 12. Other parts of Porm 1 completed as part of this application: (eg. Part D, Part 1, etc)
Pan A must always be accompanied by other
completed parts of Farm 1. For information about | P ‘aut E _ i
when a part of Form 1 may apply refer to Guide 1.
coplcant details 13. Applicant's name: 15. Contact person:

arty identify who is making the application. The
applicant need ngt be the owner of the land. Meas . letley & ilders Lasatey / Zec/ _
When signing and lodging this application 14. Contact number: 16. Facsimile ntmber/e-mail address:
‘The appicantis responsible for ensuring the
information provided is correct. The assessment S&% Z ¢ 2 % & o
manager, any referral agency & the Chief Executive
(where applicable) will raly on this information when | 17. Postal address:
assessing and deciding the application.
Ifthe applicant Is a company - a contact person
must be shown, 18. Signature:

 

  

 

 

 

 

 

 
   
 

 

 

   

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