001AA433.001

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      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}
                      Siete eae              pea Sa? FET Nace ol waloe Gath: watercolirse or aguifer (known)  Sa ee      CAS  a    uae  Ree ar
                       Noosa Waters Canal
      Table E   Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
                       SES      oh pn rh ete                    wo ede          ee Ls                  LER Ao                    eee era
                      fp
       Table F  Complete if the premises are in tidal water
                       SWS GOO                      TSS Uwe) Le                            Nae Sp         MTS            alate (CH         ED
                cp
       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)
                  ee       Erm en of preniines RRR
             4,705.00            m? [_] hectares      (Tick appfcable unit)
          Er             TT ET                                            es OS ee                   EE            TT            ee     ee
       Enenngusen       Menon           a ey urumuer           ee                a                 Se                             a
@      4     Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)
        5.   Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water ete.}?
             [BX] No    (Yes - Ensure the type, location and oimensions of each easement are included in plans, submitted with the application
         HPI       TEL TET EET TE Ee                          ee                a ney anit ts         TRE          ee eee                   ena
        PROS                                                                                                                 ae
        6.    Brief description of the proposal (e.g. 6 unit apartment building, 30 fot residential subdivision, a bore, aquaculture)
         Removal of 2 existing jetties and construction of 1 new timber jetty
        7.    Does the poposal include new buildings or operational work {including any services) on the premises?
              {_] No     BX] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
        LRT
         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 -GotoQ9        C] 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 Q9 - go to the next section.
         rae APTN RESORT TSHR OT EIIY OES DOT ONE        Ea CT Te Tt,    diya SE STATS Ta EY CE            ORT GE          eee        eee nee setae
         SESS                      ee ee                               ee                             RSE        nen ake                     a
         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, of on an attachment to this form if applicable.
          Table H             eee                                  ee Aen Cao                                        a              eee       ee
                              Pears    ae OSI     AS BGS | teeta   (oper address OF OL On plat dé earth legac ONC LS wIO   NALS Ace! PaaS ODtAINeG    a.
                              rete ‘ang postal adaress" Sete lie i see aaa es 0,610 plan descr) Sec h |     a       RN ee es rwas: obtained
                       1                                     17 Masthead Q       N       ile QLD 4566                     >
                               .                 _                asthead   Quay, Noosaville                0                     » ABAD
                               EDurtep Sze?                                                            AA EEO
                                                                                                         y {Z
                       2       NW Kf Eff E STRA D417 Masthead Quay, Noosaville QLD 45667]                                     ne       8/05/2009
                                                                                                                                      =
          * Owners 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. \f the owner is a company, $127 of the Corporations Act 2007 (Cweatin) details how a
           company may sign as owner. Templates for the provision of owner's consent are available on the [PA website .