08/2087 - Preliminary Building Work Assessable Against the Planning Scheme [As Published] · 172008.2087

INTEGRATED PLANNING ACT 1997

NOTE: Answer all questiol

Company or organisation name (If applicable)

Individual applicant/Contact person (If there is more than one applicant, provide additional applicant details on an attachment to this form)

 

Title! wR.

 

 

First name

 

Sere

fected to go to a particular question. Refer to the end of the form for advice on how to complete this form.

Part A, Version 3.1, 3 March 2008

   
 

  

i Applicant details (7he Applicant is the person responsible for making the application and need not be the owner of the land. . The Applicant is responsible for ensuring the
“inforniation provided on the DAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and
‘deciding this application. By fodging this application, the Applicant incurs the obligations end responsibilities prescribed by the IPA. Any development permit or preliminary

* approval thal may be Issued as a consequence of this application will be issued to the Applicant.) | 2 oe .

 

 

 

 

FREDERICK.

 

Last
name”

BRiemaAn

 

 

 

 

Postal address

 

2) Topsries free oR fo Box 147 NOCSAVILE Hyv6 6

 

 

Contact telephone number

S449 os =

Mobile phone number,

e427 6S7 20

 

 

 

2 ames,

Facsimile number

 

Suug co56

 

e-mail address

 

 

 

 

Details of the premises (ie. the land on which the davetopment is proposed - reler to the advice at the end of the form)

 

. Fbrilman® me. .com

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 02

 

Name of each local government area in which the mobile and temporary ERA is proposed to operate

 

1.

 

 

 

 

OR

TableB Street address for the premises (~ applicable box/es below and insert property description in the table. identify each lot in a separate row.}
(i) 4 Street address / tot on plan for the premises (Appropriate for most! applications including building applications); OT

(i) [1] Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty, pontoon
etc) (Note: Lot on plan details may be obtained from title documents, a ‘Rate’ notice, or from the local government.) .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address Lot on plan description Local goverment area (a.
Nat sree Street Name and official suburbfocality name oe Lot No. ren Np eon Logan, Cairns)
1. > | MERMAD BuUAY 4566 [376] RP BSkI70] SomMsHINE cons]
NOOSA WRTERS ?
AND/OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lo, in water (e.g. channel dredging in Morefon Bay) etc.)
Coordinates
(Note: place each set of coordinates in a seperate row} Reece Datum Le eta) area
Easting Northing Latitude Longitude
1. Ci coa94 (J wese4
LJ Other
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