07/1586 - MCU - Detached House [As Published] · 132007.1586

O4-JUL-07 . 04:23PM = FROM-Caloundra Building Approvals

INTEGRATED PLANNING ACT 1997

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Common details

#6175491 4877 T-172-P.004/012 = F=831

Part A, Version 2.4, 29 May 2008

   

Development Application

   
  

 

Tha completion cf all sppficable 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) of more offer complated parts of the Form as required. For mere information on the parts of the Farm refer to

i.

Any information requested In tha form mey be provided In an attachment to the application. For further Information about compfeting the folowing detaks, rafer to Guide 1,

Description of land

All land the subject of the application, must be
Wentifed, However, a deseription of the land ip net
required in rotation to a mablle or temporary
Enviranmantglly Relavant Aatlvity (ERA),
Adivtes for conpteting Q2 - Q2 applion it
evelopment is proposed within a water body or
Wwatecourse,

Agita for comoteting 03 - Mos| fand can bs
Identiied by a tot on plan description, These detalls
can be obtained from tite documents of through the
local government,

However, if the lend on which the development is
proposed does not have alot on plan dascription (i.9.
the davelopment is proposed In 4 water body or
Watercourse) provide =

d
() the lot on pian description for the
@djoiningladjscent land; or
{ll) GPG coordinates where thera is no
adjotning/edjecant land (eg. in Moreton Bay}.
Advice for completing G7. Q7 does nas apply I the
developmant is within a water body or watercourse.
Adules tor conypleting G8 - 08 opplles t
development fe within loool government area,
Note; Aroas bolow high water mark are pot within a
local governmant’s area unless provided for under the
Local Government Act 1993
Advics for completing GQ - Q9 apples If
evelopment ig on stratagia port land or a atretegic
port fand tidal are, For mare datalls rofer to Guide 14

Proposal detalis

If thera ig Ineutfictent room aveileble, details may be
providad in an attachment to tte application.

4. Street address: ¢nciudinghouse number, street name, suburtviocality name & postcode) (if applicable)
[6 THE PRMmoNtoRY NawSAVINE
2. Name of water body or watercourse, within which the development Is proposed: (#eppficable)
[NoosA __ WATERS
Lot on plan description (ap. Lot 123 on RP 4567) / GPS coordinates:
[tot B47 of S@i025749
4. The above description Is for: (tek appficebie box)
ti tha land on which the development is proposed; or
[3 (i) the land adjoining the water body or watercourse, within which the development is
proposed; or
[71 dll) the water body or watercourse.
§. Shop / tenancy number: 6. Storey / level. Total area of land: (m? or ha):
L J L__o% 4 [go3-im™ |
8. Local government area in which the land is situated: (eg. Esk, Harvey Bay, Woacee etc.) (if applicable)

[SmiPe OF NQOSA.

Port authority for the strategic port land or strategic port land tidal area on which the
development is proposed: (eg. Port of Brsbana, Port of Townsville) (if applicable)

[ = _
Existing use of the land; (eg. vacant, alngle house, shop etc.) \
PDoJOLe STOPEY OWEUING ClW inGRoutO Pol) YKcanT

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).

7.

10.

1,

 

 

 

 

PRoPsSEO New [OWELUNG fo PERACE EASTING Chis NEW WGRenpo Foo .
Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (ag. Part D, Part J, ete}
Part A muat ahvavas be accompanied by other _|

somplated parts of Form 1, For formation about
when a part of Form 1 may epply refar to Guide 1.

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Applicant details
Clearly idantify who fg making the application, The
@ppiloant need maf ba tha owner of the land.

en lleatior
The applicant Is responsible for ensuring the
Informetion provided (s corect, The assassment
Manager, any referral agency & the Chief Exeeullve
(where applicable) wil raly on this information when
aggessing and deciding tire apptication.

2 8 + Boontact person

must be shown,
we | J

 

15, Contact person:
[ ACAN GRAHAM ]

18. Facsimile number/e-mall address:
(Ca ne¢s B7TI | [o3s)qeee B7Ss

17, Postal address: email @ clenovagfev Pp - con, cw
sure 9 | @81~ 8S) _DonicASree FO parkAgteR CART. 3107

18, Data:

j 06

13, Applicant's name:
[De JovA GtovP Pty. ut ||
14, Contact number:

18. Signature:

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