08/0529 - Op Works - Road works & Stormwater [As Published] · 142008.529

 

 

Part, Version 3.1/3 Marelt 2008

1 Development Application

 

Part A

Common details

}OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice on how to complete this form.

 
   

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Company/organisation name (if applicable)
Individual applicanContact person (If there is more than one applicant, provide additional applicant details on an aitachment to this form)
Title Mr Firstname — | Michael J Lastname | Powell
Postal address C/- Stephen Kidd, Kidd + Co Designers, PO Box 262, Noosa Heads Qld 4567
Contact telephone number 107 5447 5633 Mobile phone number 0419 758 478
Facsimile number 07 5447 5833 e-mail address [email protected]

 

 

 

 

 

 

 

 

[Details of the premises fee. the landonwhich the developmentis proposed crefer to the advice atthe end of ieian) te :
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 _ If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2,

  

 

 

 

 

 

 

OR
Table B Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row:)

(i) [Q} Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

=) {] Street address /ot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,
pontoon etc) (Nove i Loton plan details may be obtained from titfe documents, a ‘Rate’ notice, or from the local government.)

  
 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 FLot.niplan description yi
“aden” : * Plan: Number | 3
1 14 Little Cove Road, Noosa Heads 4567 1 108495 Noosa Council
14 Little Cove Road, Noosa Heads 4567 4 108495 Noosa Council
14 Little Cove Road, Noosa Heads 4567 48 52918 Noosa Council
AND/OR
Table C Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a fot, in water (e.g. channel dredging in Moreton
Bay) etc.)

 

 

    

 

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[1] Other -