08/0803 - MCU - Multiple Housing Type 2 - Duplex [As Published] · 132008.803

4
. INTEGRATED PLANNING ACT 1997

Part A, Version 3.1, 3 March 2008

     

NOTE: Answer all questions unless directed to go to a particular question, Refer to the end of the form for advic jw to complete this form.
‘Applica nit details (The Applicant is the person responsible for making the application and need not be the owner of the land. *The Applicant Js 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/organisation name (if applicable) [Colvin To Todd

 

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

Title Ms First name [Nadine Lastname Gorton

Postal address |c/ Martoo Consulting Po Box 1684 Noosa Heads Q 4567

 

 

 

 

 

 

 

Contact telephone number

   
   

5455 425 {| Mobile phone number

| e-mail address [email protected]

 

 

 

Facsimile number

 

5455 5725

 

 

 

 

 

Details.of.the premises (ie. the land on which the development is proposed - refer fo the advice at the.end of the form) sus... ian elite : J
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 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 temporary ERA is proposed to operate

——

 

 

 

 

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

() [#] Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Uni | Sreat Street Address _ _{tot on ara ceserpton Local government area fea. Logan,
sre . ,
No, | No. .|. Street Name and official suburocalty name Post Code bot ta. {PlenNumber |=. =, ‘Caims).
1 Grant Street Noosa Heads 4567 13 $P179879 Sunshine Coast Regional Council
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a fot, in water (e.g. channel dredging in Moreton
Bay) efc.)
: Coordinates Pp mse
(Note: place each set of coordinates in a separate row) Zone FA Daturn 2 Local government area
Easting Northing Latitude Longitude Reference : (if applicable)
1 : [— depasa
[7 weses
[~ Other -

 

 

 

 

 

 

 

 

 

 

2. _ Identify if any of the following apply to the premises by completing Tables D, ©, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)