00156B56.001

INTEGRATED PLANNING ACT 1997                                                                                                    Part A, Version 2.4, 29 May 2006
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                  »     WX?                 Form        1   Development Application                                                                             nee

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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 (+) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www.ipa.qld.gov.au.
                 Any information requested in the form may be provided in an attachment to the application. For further information about completing the following details, refer to Guide 1.
               Description of land                          1.   Street address: fnctudinghouse number, street name, suburtVocality name & postcode) (if applicable)
               ented However 9deerpion fe land                  [ 33Hastings Street, NoosaHeads 4565
               identified. However, a description of the land Is not 33 Hastings Street, Noosa Heads 4565
                aneaaty Resertacaey era.                    2.   Name of water body or watercourse, within which the development is proposed: (if applicable)
               development is proposed within a wafer budy or                                                                    -
              watecourss.                                   3.   _Loton 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 detalts Lots 1 - 7 and Common Property on BUP2665
                   be obtained from title d ts or through th                        ag                                                                                              .
              ‘ocal pineal           orumennsormmougn       14.  The above description is for: (tick applicable box)
               However, if the land on which the davelopment is  [Xi (i)  the land on which the development is proposed; or
                              hi                        8.            se               oo                                            ts                              .
               fre devebpment is proposed ine mar body or °      C7 (ii)  the land adjoining the water body or watercourse, within which the development is
               watercourse) provide -                                      proposed; or                 -
               0 ainaagecent andor                               C7 (iii) the water body or watercourse.          -    *
                           lan description for the                    sae
               " adjoning/edacent land (eg. in Moreton Bay), 5.   Shop / tenancy number:           6.    Storey/level:                 7.   Total area of land: (nm or ha):
                ii} GPS coordinates where there Is no
               development is within a water body or watercourse.   NIA                                   NIA                                 675m2
               Advice for completing 8 - 08 applies if                                      ‘     '             oe  ef     .                                  .
               development is wilin a local goverment area. 8.    Local govemment area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo ett.) (if applicable)
                ey rh oh a
               local government's area unless provided for under the                                                                                    ;
                Local Goverment 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                          i            .             ‘                    ‘th
               development is on slrategi port land ora 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 to the appication         Residential units and Commercial
                                                            11.   Proposed use of the land: (eg, 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
@                                                                ponds with a total area of 7 ha for which wastes are released into waters etc).
                                                                    3 residentail units and 2 shops
                Other applicable parts of Form 1            12.   Other parts of Form 1 completed as part of this application: (eg. Part D, Part /, ate)                              *
                completed parts of Form 1. For information about    Part D and Assessment Checklist 4- irr
                when a part of Form 4 may apply refer to Guide 1,
                Applicant details                           13.   Applicant's name:                                  15.  Contact person:
                applicant need not be the owner of the land.        Robert Selkirk                                          Scott Sobey                               ;
                When slaning and lodging this application   14.   Contact number:                                    16.  Facsimile number/e-mail address:
                The applicant Is responsible for ensuring the
                information provided Is correct. The assessment     5443 2844                                               5443 7146            .
                manager, any referral agency & the Chief Executive                                                         scott. [email protected]
                (where applicab¥e} will rety on this Information when
                assessing and deciding the application.     17.   Postal address:
                must be shown.                                      C/- Ken Hicks & Associates, PO Box 6380, Maroochydore BC, Qld, 4558
                                                            18.   Signature:                                                         19.  Date:
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