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09/0463 - MCU - Detached House [As Published] · 132009.463
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INTEGRATED PLANNING ACT 1897 y Part A, Version 3.1, 3 March 2008
67 ea
Company/organisation name (if applicable) [starco HOLDINGS PTY LTO
Individual applicant/Contact person (If there is more than one applicant, provide additional applicant details on an attachment {o this form)
e Tile Firstname [NIGEL Lastname [FITZGERALD
Postal address [Po BOX 1184, NOOSA HEADS, QUEENSLAND 4567
Contact telephone number (07) 5440 3393 Mobile phone number 0437 577 509 ‘
Facsimile number (07) 5440 3399 e-mail address [email protected]
1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
Table A If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.
[
| 1
OR
TableB Street address for the premises (lick applicable box/es below and insert property description in the table, Identify each fot in a separate row.)
(i Street address / lot on plan for the premises (Appropriate for most appfications including building applications); OF
e@ (i) (2 Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoon ete) (Nofe: Loton Blan de detais may be obiained from title te documents, @ Rate’ notice, or from the local govemment.)
1 755 / | THE PALMS, NOOSA SPRINGS ORIVE 4567 55 GTP 107028 | SUNSHINE COAST
6 4+] NOOSA HEADS, QUEENSLAND
AND/OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (6.9. chennel dredging in Moreton
Bay) etc.) :
[1 | [1 vepass
(J wesas
[] Other -
2. — Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: In most instances, the premises wil not inva any of
the following characteristics, however soma applications may involve one or more of these characteristics - complete only if applicable)
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