001AA433.001

n    y
      INTEGRATED PLANNING ACT 1997                                                                                   Part A, Version 3.1, 3 March 2008
      Ry      ao     t                                                                                                                  :                    %
       CN        A    i        :          .
         fe       a                        '                               ,      i                                     ,                    ,
         ISD)                om            DalouieaiAeleeen                                                                   [ees

      iy                                                                                  ig      (SY      ve                       -\
      i                                                  Common details                                           ax 2009
       5                                                                                                     2‘                ,
        OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the’ or advice oe, rong         AD form.
      AB TCSTTCHENEN STTS OTe eeepc nes dre CPE TE GEN Ree enn
       RT                     ete           ee other in ease es eariaue nd (van                                                   Ya
     reed iiosonvenions Oy      ire oe ee r prescribe by. thes f AAR del Se forprefininaty: ona
       Liéprgvel thot ie) bee Siar oe Se ence    oe       Se ice ipploant Ee ME                ae ae aad
          Company/organisation name (if applicable) |Pile-It Pty Ltd tfa Noosa Jetty Builders
       Individual applicant/Contact person (if there is more than one applicant, provide additional applicant details on an attachment to this form)
©         [iw                         Fane                                                 =
           Postal address               PO Box 299, Noosaville QLD 4566
           Contact telephone number     {07 5474 3480                        Mobile phone number           0408 137 526
           Facsimile number             07 5474 3480                         e-mail address                [email protected]
          ERE PTE Tr PIS ean  ate oy PST ae           ECT Se Se ee        es Rew       er  PENA Ret aR oo Tae Sane i} eae e Pa ieex pea Rete any eo kone Tay, ee
        ETDS GEM      Pro     ee eee          eLe eve nes     rapes TIO hg V0 Oe Shoe as                       Soe                     ae
        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 Retevant Activity (ERA), complete Table A only. Then go fo Q2.
                               ea          ee aE
                      Po
         OR
         TableB   Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
 ©              (i) ([] Street address / tot on plan for the premises (Appropriate for most applications including building applications); OF
                (ii) [] 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 he obtained from title documents, a ‘Rate’ notice, or from the focal government. }
                         sae              geek gue                                ie Ge            ona a                    ema
                                      Men  Sire A  and'e        mt     Vat       pet Code  Fat ips set See Bh r ee    Soren! oi "Caltieh eed poh ec
                  PT [iste                          osmie cco                 [es       |       farzenes      mecomeontcomt
          AND /OR
          Table     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) etc.)
                          pees                tee: ean Oe                              es La                             ee
                          Se       Sse      toate Stalls th apeao          oie Ok ae Zone Sean epee Seeman
                          Bee ca eg ene                Lae Gene           por     puree | Reene| aun erecta)              ee     POD ay
                          one ie ee                                     ee eis ee
                                                                                                  [1 ocoxe                                                |
                                                                                                   (1 weses
                                                                                                   O Other -
           2.  identify if any of the following apply to the premises by completing Tables D, E, 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)