08/0989 - MCU - Multiple Housing Type 2 - Duplex [As Published] · 132008.989

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
-Fable-D—Gomplete if the premises-are-adjacent-to or- associated wil

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Table £ Complete if the premi

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gic Port Land under the Transport

 

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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)
: a of premises TARY aR:

[x] m2 [[) hectares (Tick applicable unit)

 

 

 

 

 

 

 

 

 

 

 

4. — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming otc.)

 

 

@ {1 | Vacant Land

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)?

&] No oO Yes - Ensure the type, location and dimensions of each easement aro included in plans, submitted with the application

Proposal detals. str oten areas a pe ent MO cite |. eh eg

   

6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

Multiple Housing Type 2 (Duplex)

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
x] No Oo Yes - Ensure the nature, location and dimensions of the proposed works are included in plans. submitted with the application

    

Resource entitlement Tif applicable) yther information's provided in the advice section at the. and of the fori. cg mE Whe ae |

   

> 8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
i involves State fand (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

No -Gotca9 oO 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 (iapplicable) : furth

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.

 

 
 

Table H

 

 
 
 
 

 

Leslie Kevin Massey
PO Box 466 COTTON TREE | Lot 67 on RP842163 1
QLD 4558 ‘

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Janice Priscilla Richards

2 | PO Box 466 COTTON TREE | Lot 67 on RP842163 J Kchorko . J 6/08

QLD 4558

 

 

 

 

 

 

 

 

 

* Owner's signature cannot de 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 .