00154413.001

-           INTEGRATED PLANNING ACT 1997                                                                                                     Part A, Version 2.4, 29 May 2006
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                                          Form        1   Development Application                                                                               idas

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                The completion of all applicable 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.qid.qov.au.
              Any information requested in the form may be provided in an attachment to the application. For further information about completing the fotlowing details, refer to Guide 1.
             Description of land                          1.   Street address: fnctudinghouse number, street name, suburb/locality name & postcode) (if applicable)
            All land the subject of the application, must be                 .                     :
             dented. However, a desctpion of te and is not       305 Gympie Terrace, Noosaville
             Eironmentaly Relevnt Acta (ERA              2.    Name of water body or watercourse, within which the development is proposed: (if applicable)
            development is proposed within a water body or
@            watecourse.                                 3.    Lot on plan description (eg. Lot 123 on RP 4567) / GPS coordinates:
             Advice for completing Q3 - Most land can be
             identified by a lot on plan description. These details Lot 2 on RP65319
                    tained from title d ts or through                             ~
            Coe nove        om  tle documents ortinowgh te | 4 The above description is for: (tick applicable box)
             However, if the land on which the development is      (i)  the land on which the development is proposed; or
            the dovebpmeste proceed ine uater boron            LJ (ii)  the land adjoining the water body or watercourse, within which the development is
                    d       h                  iption {i.e.         oe               soe                                           sans     +                       .
             watercourse) provide —                                      proposed; or
             0 ieee                                            C (iii) the water body or watercourse.
             0 adjoinngfadjacent land (eg. in Moreton Bay, |5- Shop/ tenancy number:              6.   Storey / level:               7.    Total area of land: (nr or ha):
             il) GPS  coordinates where there is no
             a cin               D2 et 6                                                                                                     524 m2
             development is within a water body or watercourse.
             Advice for completing Q8 - Q8 applies if                                     .     .             to a        .                                   -    .
             developments within a focal government area, 8.   Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc.) (if applicable)
             focal government's area unless provided for under the          ;                  -                       ;             ;                 "
             Local Government Act 1993.                   9.   Port authority for the strategic port land or strategic port land tidal area on which the
             Advice for completing Q9 - Q9 applies if                          H            .             ‘                    ‘te) fi   7
             development is on strategie port land or a strategic development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)

             Proposal details                             10.  Existing use of the land: (eg. vacant, single house, shop etc.)
   ©         provided in an attachment (o the application.       Detached house
                                                          11.  Proposed use of the land: (eg. 6 unit apartment building, 30 fot residential subdivision, ERA for aquacutture in
                                             .                 ponds with a total area of 7 ha for which wastes are released into waters efc).
                                                                 Type 2 Duplex
             Other applicable parts of Form 1             12.  Other parts of Form 1 completed as part of this application: (eg. Part D, Part J, etc)
             completed parts of Form 1. For information about     Part D and referrals checklist
             when a part of Form 1 may apply refer to Guide 4.
             Applicant details                            13.  Applicant's name:                                   15.   Contact person:
             appficant need of be the owner of the land.          Pam & Roger Lever                                        C/ Nadine Gorton
            When signing and lodging this application     14.  Contact number:                                     16.   Facsimile number/e-mail address:                   .
             ner eon povided ecaret The teasment                  5455 5425                                                [email protected]                     °
             manager, any referral agency & the Chief Executive
             (where applicable) will rely on this Information when | 17. Postal address:
             W the applicant ls a company -a contact person       C/ Martoo Consulting Po Box 1684 Noosa Heads Q 467
             must be shown.                               18.   Signature:                                                         19.   Date:
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