07/0683 - Preliminary Building Approval [As Published] · 172007.683

INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

 

 

 

      
   
 

ing house ‘number. Street namie, Biburbtocalty name’& postcode) (if applicable)
15 SALTWATER AVENUE, NOOSA WATERS, QLD,

‘Name df wate body F:watercourse, within vhich the development i is proposed: (if applicable)

   

J
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. “Total-area of land: (m2 or ha):
{ 792

 

 

 

 

 

 

 
   

 

Which wastes-are réleased. into wetsrs etc).

Badd His |

   

| SINGLE HOUSE

"112, " Other:paits:6fiFormt: completed.as:part of.this. application: (eg. Part D, Part, efc)

   

 

completed: parts of Form’ ; fot information-about
when.a.part of Form't:may. apply. refer: to’ Guide

( | |

 

Applicantdetails
Clearly idenffy. who is making the application, The
applicant need fot be the owner of the land,

The applicant is responsible for ensuring the
information provided. is correct. The assessment
manager.-any referral agency & the Chief Executive
(where applicable) will rely on this information when
assessing and deciding the application.

Ifthe applicant Is a company - a contact person
must be shown.

13. Applicant's name: 4a
[ ORJAN HAKANSSON ~7/ S PA
14. Contact number:

15, Contact person:

[Zane REC)

16. Facsimile number/e-mail address: .
| 07 “54427766 | qgntoekanpon)-netay
17. Postal address: J

© COS Ose MALCUHIPAE £5

18. Signature; 19, Date:

\ 21st March, 2007

 

 

 

 

 

 

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