09/1058 - MCU - Detached House [As Published] · 132009.1058

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

 

Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, fake, canal)

li
Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
* Lot on plan description for strategic port land _,, Port Authority for the lot
1

Table F Complete if the premises a are in tidal water

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3. __ Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

4 , . Name of water body, watercourse or aquifer (if known) « ad a >

 

 

 

 

     

 

 

 

   

‘#2 Name of port authority for the tidal aréa (if applicable)

 

 

 

 

 

 

 

te, S&T otal area of premises +:

   

 

531.00 m? ([] hectares {Tick applicable unt)

 

 

 

 

 

Existing use of the premises a
4, — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

 

{ 1 | Vacant i

5. Are there any existing easements on the premises? (a.g. for vehicular access, electricity, overland flow, water etc.)?

 

No oO Yes - Ensure the type. location and dimensions of each easement are included in plans, submitted with the application

 

  

:Proposal details »:
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 Jot residential subdivision, a bore, aquacutture)

 

welling

 

 

 

7. Does the poposal include new buildings or aperational work (including any services) on the premises?
LJ No Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
iResource entitlement (if applicable) . - further information is provided: in the advice section atthe and of tha Tomy opis ou Re ool

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
invonves State fand (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with weter under the Water Act 2000, etc.)

 

 

No - Goto a9 Oo Yes - Complete Table G - provide details for each evidence required on a separate row. If applicable. Evidence of resource
allocation or entittement must be submitted with the application. You do not need to answer Q9 - go to the next section.

 

 

 

 

9. Complete Table H for spolcatons involving a material change of use; reconfiguration of a lot; work on land b below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on @ separate row, of on an attachment to this form if applicable

 

 
  

     
 
 
 
  
      

es Owner's namne/s

Ses ee ’ Date consent
and postal address Wr °f 8

Table H « was obtained

 

treet adores or lot on plan scription)

 

 

1 Doug & Pam McTaggart 8 Piper Street, Peregian Beach 10/08/2009

 

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner’s consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of theCorporations Act 2001 (Cwealth) details how a
company may sign as owner, Templates for the provision of owner's consent are available an thelPA website

r —

 

 

 

tt . Description: of attachment oF information
Pait C of Form 1, owner's consent, evidence of res
abocation/entitement, plans, drawings, reports}:

Part A of Form 4 Pat A 10-Aug-2009 | mail
2 Part D of Form 1 Part D 10-Aug-2009 | mail

Table |

    

 

‘assessmerit manager