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08/0413 - MCU - Detached House [As Published] · 132008.413
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INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007
Common details
07 MAR 2008
HOOSA SHIRE COUNCIL
FRONT COUNTER
Identification of the premises the subject of the application
1. Can any part of the premises be identified by a street address or lot on plan description?
(1 No - Answer Qt(a)
1{a) Does the application only invoive a mobite and temporary environmentally relevant activity (ERA)?
C1 No-Gotoa2 C1 Yes - Complete Table A stating each local goverment area in which the mabile and temporary ERA is
proposed to operate. Then go to Q9
Table A Name of each local government
fi.
Yes ~ Complete Table B and answer Q1(b) and Qi(c)
Table B
u Street suburb Post Lot on plan description
nit Official subu si (place each description in a separate row}
number! number Street name Pocality name code |, Fon pe Local govemment area
number | (eg ae.se) | Plan number
[i 42 | LORI KEET — | PEREGIAN Bo A573 636 P2428 M00SAh
1(b) Can the address be further described by shop/tenancy number or storey/evel?
No (] Yes- Complete Table C
Table C
ShopAenancy number Storeyfevel ”
i.
1(c)_ ts any part of the premises strategic port !and under the Transport Infrastructure Act 1994?
No (C1 Yes - Complete Table D
Table D
[a.
2. Can the premises best be identified by coordinates (e.g. for development, proposed in waters or on a site within a large rural to)?
XI No (1 Yes- Complete Table E
Lot on plan deseription Port authority for the fot
Table E
Coordinates
(place each set of coordinates in a separate row) Zone Reference Locat govemment area
Easting Northing Latitude. Longitude
1. . Zone Reference
Oo GDA94 (preferredy
LJ weses
( otter - specify
-1-
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