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

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

(0 the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of the

2. Identify if any of the following apply t
ications may involve one or more of these characteristics - complete only if applicable}

following characteristics, however some app!
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (¢.9. river, creek, lake, canal)

Name of water body, watercourse or aquifer {if known)

1. Nooshk& WATERS
le E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
Lot on plan description for strategic port land Port authority for the lot

 

 

 

Tab!

 

 

 

Table F Complete if the premises are in tidal water
Name of local government for the tidal area {if applicable)

 

Name of port authority for the tidal area (if applicable)

 

 

 

 

 

1,
3. _ Indicate the total area of the premises on which the development is proposed: (Note: The fotal area may include land both above and below water)
Total area of premises (land on which the development is proposed)

G\5|6\*| ele [fm CO) hectares (+ applicable uni)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

nme emer
methine cet sR DONT nem

 

{Existing use of the premises 2
4. Current use/s of the premises: (o.9. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

Hovse€

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc.)
(ANo oO Yes - Ensure the type, focation and dimensions of each easement are included in plans, submitted with the application

 

 

 

 

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6. Brief description of the proposal: (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture etc.)

fool. TEKS.

7. Does the proposal include new building work or operational work (including any services) on the premises?
oO No Wes ~ Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

 

 

 

a a en we Wolpe ae fama ar:
Resource entitlement {if applicable) ~ further information is provided in the advice section at the end of the for ee

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

invo'ves State fand (leased and
Ko O Yes - Complete Table G — provide details for each evidence required on a separate row, if applicable. Evidence of resource allocation or

 

 

 

 

lo - Goto Q9
entitlement must be submitted with the application. You do not need fo answer Q9 - go to the next section.
Nature of State-owned resource
TableG Nature of evidence required
Allocation/entitlement a i set State Government Date of | Date of
reference number Name of authorising officer Position of authorising officer Department issue _| expiry

 

 

 

 

 

 

 

 

 

 

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[Owners Consent (Fapnicabie)- futher intonation s provided nthe advice section a th end of ie form, ee eee une

9, Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and not
within a canal as defined under the Coastal Protection and Management Act 1995, or work on rail corridor fand defined under-the

Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

 

Table H ~: Premises Owner's name/s Details of the premises owned Owner's signature Date consent
and postal address (street address or lot on plan description} 9 was obtained

MR. FRED BRILMAN | 33 MERMAUD RvAy
Noes.

2) JOPS FILS PLACE F weyTetse
NOOSA WATERS

 

 

 

 

 

 

 

 

* Qymer's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
altachment containing appropriate written documentation of the ‘owner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a

company may sign as owner. Templates for the provision of owner’s consent are available on the IPA website .
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