001ABA64.001

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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)
                  be  ath    28s   ohh      Gx.          Name of water body, watercourse or aquifer (if known) i. goed,             a. ae
         1     | NOOSA RIVER
Table E    Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
                  ‘uti, _ Lot on plan description for strategic port land 0.2%].     albeit _g Port Authority for the lot      xdligees       al

Table F    Complete if the premises are in tidal water
                  «casitalame of local government for the tidal area (if applicable)..." “&¢, Name of port authority for the tidal area (if applicable): « y

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)
      athaiis... enrAsde    Totalareaof premises <3      sa Sakis.    4
      oso               DX) m2 [J hectares       (Tick applicable unit}
Existing use of the premises       og).    duce          oie                          le           a               ge cathe, an
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, overtand flow, water efc.)?
      &X] No    C] Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
Proposaldetails.                             eee                                                           v           mr        —              *
6.    Brief description of the proposal (e.g. 6 unit apartment building, 30 Jot residential subdivision; a bore, aquaculture)
 TIMBER JETTY                                    ,

7.    Does the poposal include new buildings or operational work {including any services) on the premises?
     CL   No — [X] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
Resource entitlement (i applicable) :- futher information Is provided in the advice section at the end of the form ak sai, Syetuoemes, A a.   aged
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. )
     Cj No - Goto a9          XX  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
                     Nature of State-owned resource 6. Land that is unallocated State land under the Land Act 1994, other than to the extent that item 17 applies
                      AS     OSU erate,     Ck oa sae:
                       ue      ve            Se    sgt 9 CYUGHOFH WH GHSVIEGP ICMAMLID) WH DOGAPWL994 LY VOMMIIHS—{D) WH GHYHBSP HOAY FROMIANOWZ IW OO
Table G              Nature of evidence required      | allocation / entitlement; or (b) the development application may proceed in the absence of an allocation /
                      See     aE     es      pe    eT   ment”
                      Allocation/entitlement |, Name of authorising | Position of authorising}    State Government * | * Date of » | Date of
                        reference number           "Officer       2      ©      officer               Department    .       issue), |   expiry .
                      SE981AP2861; MCYg| BEN SALE                       DELEGATE              DERM                       2506/2009 | 25/11/2009
Owner's consent (if applicable) :- further information is provided in the advice section at the end ofthe form. ake Mm
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.
                       “Premises Owner'snamels        |       Details of the premises owned           etnies     ey      »,;, | Date consent ,
Table H                     and postal address 2%]        (street address oat on plan descition) f°: | Cwners So Ta ee” | “was obtained

“ 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. 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 [PA website .