08/0531 - Op Works - Dam [As Published] · 142008.531

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

   

 

Part A

Common details

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

Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. The Applicant is responsible for ensuring the
information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and
deciding this application. By lodging this application, the Applicant incurs the obligations and responsibilities prescribed by the IPA. Any development permit or preliminary
approval that may be issued as a consequence of this application will be issued to the Applicant.)

 

Company or organisation name (If applicable)

 

 

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

Title wre First name Tcosthu A ne Woo

Postaladdress | (eT Cop om . fecci ChE 2\ Wa ooo
Contact telephone number | TLR - SUS a Mobile phone number| DuUd3 - BEAoay

Facsimile number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e-mail address

 

 

 

 

 

Details of the premises (ie. the land on which the development is proposed — refer to the advice at the end of the form)

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 If the application is for a mobite 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

TableB Street address for the premises { » applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
(i) (1 Street address / lot on plan for the premises (Appropriate for most applications including building applications): Of

(i) [1 Street address Hot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty. pontoon
etc) (Note. Lot on pian details may be obtained from title documents. a Rate’ notice, or from the focal government.)

 

 

br Nr Lot on plan riptis

Street address on plan description Local government area (e.g.
Unit Street ( Post Plan type and Logan, Cairns)
No. No Street Name and official suburb/iocality name Code Lot No. Plan Number

 

jo} RE oe

eur CREEK!

 

 

 

 

 

 

 

 

 

 

 

AND/ OR
TableC Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a Jot, in water (e.g. channel dredging in Moreton Bay) etc.)
Coordinates
. an Zone Local govemment area
_ (Note: place each set of coordinates in 2 separate row) : Reference Datum (if applicable}
Easting Northing Latitude Longitude
1. C1 cpass CF] wese4
C1 Other

 

 

 

 

 

 

 

 

 

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