001AA83A.001

v

     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)
                                  ,        ee                 Name of water body; watercourse or aquifer (if known)’ = "<2                yee

     Table E   Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
                      | Ree” Lot on plan description for strategic portland. 2s...88 |,       gotiy.         Port Authority   forthelot 2° og.     ga

     Table F   Complete if the premises are in tidal water
                      : «__. Name of local government for the tidal area (fappicable) < .,| - — Name of port authority for the tidal atea (Ifappicable) 2°
               ep
     3.    Indicate the total area of the premises on which the development is proposed: (Note: The total area may include fand both above and below water)
           ee                    Fotahareaofpremises     9  2° eS
           565.27            jm? [J hectares          (Tick applicable unil)
     Existing use.of the premises. 2g us “Qual: a
     4.    Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.}
                       APARTMENT BUILDING
     5.    Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water efc.)?
               No        | Yes - Ensure the type. location and dimensions of each easement are included in plans, submitted with the application
     (Proposal details:    ue. gsm                     2                 ee                                    ae            a
     6.    Brief description of the proposal (e.g. 6 unit apartment building, 30 fot residential subdivision, a bore, aquaculture)

      PROPOSED ALTERATIONS TO DRIVEWAY

     7.    Does the poposal include new buildings or operational work {including any services) on the premises?
          LJ No            Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
     iResource entitlement (f applicable} -- further information is, provided in. the advice section af the enc of the form ee: See co           2S 7]
     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.)
           xX) No - Goto Q9          7] 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.
     Owner's consent (i enpicabie) «further information is provided im the advice section at the end ofthe form aie tus           a               ery
     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.
                           ey    teen  py Oo ge ny        i :  ete Ee =     ihe bramiene   See, a ogetease 4 SR                ae      Pr Sn '   nsent  é
     Table H                2 Prem os Owners 12 . os      ad Delails of the premises owned et                  “Owners signature’      «Date oon te
                            _. and:postal address “*       Be (street address or. fot on-plan description) * 5"       ES         grs< | Was obtained
                           Kareka CTS 7706 Teys —_) 47 Little Cove Road, Noosa Heads, QLD.
                    1      Body Corporate Mgmt             4567
                           C/- Kidd + Co Designers
                           PO Box 1803 Noosa Heads,
                           QLD.4567
      * Owner's 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. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
       company may sign as owner. Templates for the provision of owner's consent are available on the IPA website .