06/1266 - Op Works Transport Type 5 Domestic Marine [As Published] · 142006.1266

INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006

EormplevelopmentApplication tes

  

 

 

“ Common details —

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The completion of atl appticable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
required, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.qld gov.au.
Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of land 1. Street address: faciudinghouse number, street name, suburb/locality name & posicode) {if applicable)
app
Ail land the subject of the application, must be . ;
identified, However, a descripton af the land is not ( G MERMAID Qoat t ACCS aie ce |
0 In relat i ea : —
Cane nenay Relevont Achy (ERA) 2. Name of water body or watercourse, within which the development is proposed: (if applicable)
Advice for completing Q2 - Q2 applies it Ll oT &
development is proposed within a water body or [ £ - t 25 KP 2450 - |
watecourse 3. Loton plan description (eg. Lot 123 on RP 4567)! GPS coordinates:
Advice for completing Q3 - Most land can be |
identified by 2 lol on plan description. These detalls
can be obtained from tille ts oF trough the ee
rales 4. The above description is for: (tick appficable box)
However, it the fand on which the development is C1 (i) the land on which the development is proposed; or
Oe ee cintaale baton [1 (ii) the land adjoining the water body or watercourse, within which the development is
watercotase} provide — proposed; or
(i) the fot on plan description lor the eae
adjoiningiadiacent tand; or (C(il) the water body or watercourse.
i) GPS coordinates where there Is no
" adoiingaacen land (eg, in Moreton Bay). 5, Shop / tenancy number: 6, Storey / level: 7. Total area of land: (m? or ha):
Advice for completing Q? - 7 does nof apply if the we Boo
development is within a water body of watercourse, = _| |
ce on Scrat ea, 8. Local government area in which the land is situated: fag. Esk, Hervey Bay, Woocoo atc) (if applicable)
Note: Areas below high water mark are not within a r Ye os
local government s area unless provided for under the A : - 7 |
Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
Advice for completing G9 - 09 apphesil development is proposed: (eg. Port of Brisbane, Port of Townsville) {if applicable)
development ts on strategic port land or 3 strategic
port land tdat area For more details refer to Guide 11 |
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
if there is insufficient roam avaitable, details may be . 5
provided in an attachment to the application. | SX ane Stores, how se

 

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11. Proposed use of the land: eg. 6 unit apariment building, 30 fot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into walers etc).

 

 

Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part /, etc)
Parl A must always be accompanied by other [- Ee
completed parts of Form 1. For information about

 

when a part of Form | ray apply refer to Guide 1

 

 

 

 

Applicant details 13. Applicant's name: 15. Contact person:
Op
Clearly identity who Is making the application. The ©
applicant need of be lhe owner of the fand. hon leave Braroees Aue | Caro Clone het OF ba
When sinning and lodging this application 14. Contact number. 16. Facsimile number/e-mail address:
The applicant is respansible for ensuring the
information provided is correct. The assessment [« fo} 244 3002- | | ST ee

 

manager, any referral agency & the Chief Executive
{where applicable) wi rely on this information when | 17. Postal address: :

 

 

assessing and deciding the appiication.
ICthe applicant is a company - a contact person | te MEEK ALO QAM  JOOSNW aire |
‘must be shown 18. Signature: 19. Date:

 

10 [Cfo |

 

 

See Atache yt