09/0247 - Operational Works - Transport Type 5 - Domestic Marine (Jetty & Boatlift) [As Published] · 142009.247

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INTEGRATED PLANNING ACT 1997

 

Part A, Version 3.1, 3 March 2008

 

Common details

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OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the form for advice ete INS itp

: Coon ile wT Me
i au ; paibe (once

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. Company/organisation name (if applicable)
. Individual applicant/Contact person (If there is more than one applicant, provide addtional applicant details on an attachment to this form)
e Title [ws | First name [Emma Lastname Reed vite
¢ Postal address [Po Box 299, Noosavile. QLD 4566 _|

 

 

 

 

4! Contact telephone number [07 5474 3480 Mobile phone number [oso 437 526
‘ Facsimile number [o7 5474 3480 e-mail address [email protected]

 

 

 

 

 

 

   
  

je C (ensure adequate information is given to identify the premises)
complete Table A only, Then go to Q2.

 

 

 

     

OR
TableB Street address for the

{) [CJ Street address / lot on plan for the premises (Appropriate for most applications inckiding building applications); OF
(ji) BQ Street address Aot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jetty,

pontoon etc) (Note: Loton plan details may be obtained fram title documents, a ‘Rate’ notice, or from the focal government.)

premises (tick applicable box/es below and insert property description in the table. Identify each lot in a separate row.)

     

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AND /OR
TableC Coordinates and/or a map of the premises (Appropia

te for development in remote areas, over part of a {ot, in water (e.g. channel dredging in Moreton

 

 

 

 

 

 

Tables D, E, or F. (Note: tn most instances, the premises will not involve any of
f these characteristics - complete only if applicable)

9. _ Identify if any of the following apply to the premises by completing
the following characteristics, however some applications may involve one of more o}
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