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

INTEGRATED PLANNING ACT 1997 Part 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, lake, canal)

 

 

 

Name of water body; ‘watercourse or aquifer (if known)

 

1

 

 

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 4 "Part Authority for the lot

 

 

1

 

 

Table F Complete if the premises are in tidal water
"Name of local government'for the tidal area (ifappiicabley | “Name of portauthority forthe tidal area (ifapplicable)

 

 

 

 

 

 

 

 

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)

 

Total area of premises

 

 

 

672.00 [e] ” [hectares {Tick applicable unit)

 

 

 

‘Existing use.of,the premises ~~ = —— ]

 

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

 

 

 

 

 

5. Are there any existing easements on the premises? (e.9. for vehicular access, electricity, overland flow, water etc.)?

3 No [e] Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application

 

Proposal details x |
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

Multiple Housing Type 2 Duplex

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?

[J No (2) Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

‘Resource ‘entitlement (if applicable) - further information is provided in the advice section at the end of the form _|

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

 

[#] No -Gotoa9 im Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer QQ - go to the next section.

 

Owner's ‘conserit (if applicable) - further information is provided in the advice section at the end of the form. j

 

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land 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 a separate row, or on an attachment to this form if applicable.

 

 

 

 

 

 

Table H Premises Ounes nals | (in ene renee esotpton “ Owners signature” 7 cecil
{ Ross Anthony Williams 13 Grant Street Noosa Heads L Co ce) 8, /- bf o
2 Paul Joseph Lanskey 13 Grant Street Noosa Heads
3 Judith Todd 13 Grant Street Noosa Heads
4 Colvin Todd 13 Grant Street Noosa Heads -

 

 

 

 

 

 

 

 

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