Development Application part 1 of 2 - Application forms MCU12/0066

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2. What type of approval is being sought?


t:8J development permit
o preliminary approval
o both provide details below
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3. Is the    applicatio~,,,!or a mobile and tem~prary enviropmentally relevant ,activity (ERA)?

t:8J    No

DYes complete table A and then go to question 5
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4. Location of the premises (complete table B andlor table C as applicable, Identify each lot in a
                                                                                                                 separate row)

Table B      -   street addressllot for the premises or street addressllot on plan for the land adjoining or adjacent to the
premises

                                                                                   Lot on plan
                   Street Address
                                                                                   description
                                                                                                         Local government area
                    Unit    Street       Street name and official       Post              Plan type         (e.g. Logan,Cairns)
                                                                               Lot No.
                    No.      No.          suburbllocality name          code             and plan no.

                                     Evans Road,
             1              190                                                2         SP197585       SCC (Noosa)
                                     BLACK MOUNTAIN

t:8J Street address I lot on plan
       Street address I lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
owater
             e.g. jetty, pontoon)
Table C      -
                 premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)


                   Coordinates (note: place each set of
                   coordinates in a separate row)                          Zone                                Local government
                                                                                             Datum
                                                                          reference                            area   (If applicable)
                        Easting      Northing    Latitude   Longitude

                                                                                         o GDA94
                                                                                         o WGS84
             1
                                                                                         o other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)

40.64ha

6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)




           11 1    Vacant




7. Provide a brief description ofthe proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


 New Dwelling




                                                                                                      Application Details   -
                                                                                                                                IDAS form 1
                                                                                                        Version 1.0 18 December 2009