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08/0774 - Op Works - Transport Type 5 - Domestic Marine (Jetty) [As Published] · 142008.774
INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
a “a
Part A
Common details
Company/organisation name (if applicable) [Pite-t Pty Ltd tfa Noosa Jetty Builders |
Individual applicantContact person (If there is more than one applicant, provide additional applicant details on an attachment to this form)
@ Title [Ms | First name lemma Lastname Reed
Postal address [Po Box 299, Noosaville. QLD 4566
Contact telephone number [07 5474 3480 Mobile phone number ‘10408 137 526
Facsimile number 07 §474 3480 e-mail address [email protected]
etas of the premises fe. Tie land an Which the development fs proposed = 72410 thengce at tte end of tre fora)
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 Ifthe application is for a mobite and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.
[4
OR
TableB Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)
@ () [[] Street address / lot on plan for the premises (Appropriate for most applications inctuding building applications): OF
(ii) BR] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty, .
Pontoon ete) ote: Loton plan details may be obtained from title documents, a Rate’ notice, or from the focal government.)
Loti on plan description 7 =
Sunshine Coast Regional Council
[1
AND/OR
TabteC Coordinates and/or a map of the premises (Appropriate for developmentin remote areas, over part of a lot, in water (e.g. channel dredging in Moreton
Bay) etc}
1 CJ Scvass
(CD weses
[J Other -
2. Identity if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one ar more of these characteristics - - complete only if applicable)
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