07/0545 - Preliminary Building Works assessable against the Planning Code [As Published] · 172007.545

INTEGRATED PLANNING ACT 1997 : . Part A, Version 2.4, 29 May 2006

   

Form 1 Development Application

Y Common details

The completion of all applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checkist if
required, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer to www. ipa.qld.qov.au.
Any information requested in the form may be provided in an attachment to the application. For further Information about completing the following details, refer to Guide 1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of land 1. Street address: (ncludinghouse number, street name, suburb/tocality name & postcode) (if applicable)
Alltand the subject of the application, must be Zz

- Lin ste te | (eS AKA De  Vodsa Hear, 456)
Esralanddharncllnieiy orth iad 12. Name of water body or watercourse, within which the development is proposéd: (f applicable)
Advica for completing Q2 - 02 it
development is propased within aa body oF | ~ |
watecourse. 3. Lot on plan description (eg. Lot 123 on RP 4567)/ GPS coordinates:
Advice for completing Q3 - Most land can be
idenGfed by aft on plan description. These deta [28 RP 74023 |
canbe caine’ fom Be documents or trowsh te | 4 The above description is for: (ck appficable box)
However, ireland on which the development is (1) _ the land.on which the development is.proposed; or
PCO OE a eee (Gil) the tand adjoining the water body or watercourse, within which the development is
watercourse) provide > proposed; or
8 a eset Lill) the water body or watercourse. '
Fe atentld (ontario Bay.  |5- Shop/tenancy number: 6. Storey / level: 7. Total area of tand: (m? or ha):
Advice for completing Q7 - Q7 does ifthe . :
Ate ot cares | L | | _|
ee a a rrnert see 8. Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc, (i applicable)
Noto: Areas below high water mark within :
focal government's me inlsspoied fr ander the [We est S ff (RE -
Local Sore 1993. os ‘ 9. Port authority for the strategic port land or strategic port land tidal area on which the

Sense pet falrpens strlen development is proposed: (eg. Port of Brisbane, Port of Townsville) (#f applicable)
port land fidal area. For more details refer to Guide 11 [ ]
Proposal details 10. Existing use of the land: (eg. vacant, single house, shop etc.)
"heres inuficint room avait datas may be [ YWléie~ HOuS& |
11. Proposed use of the land: (eg. 6 unit apartment building, 30 lot residential subdivision, ERA for aquacutture in
ponds with a total area of 7 ha for which westes are released into waters etc).

Other applicable parts of Form 1 12. Other parts of Form 1 completed as part of this application: (eg. Part D, Part , etc)
Part A must afways be accompanied by other | |
completed parts of Form 1. For information about

 

when a part of Form 1 may apply refer to Guide 1.

 

 

 

 

Applicant details 13. Applicant's name: ‘ 15. Contact person:. °

sonicated ao ete omer o one “ [Akreee Commins [Tony ZTaexsonw |
_ When signing and lodging this application =. §— (14. Contact number: 16. Facsimile number/e-mail address:

The . ;

Iomation pried scores Te aeesonent CHF 7PE4YOS ) | | :

 

manager, any referral agency & the Chief Executive
(where apocbl)wl rly on tis information when 17. Postal address:

 

 

Ips cafcan ian caments-accntt pecs [0 .. Z8KQ0O3¢ Voes4 Aerss  ¥¢567
imust bo Shown, 18. Signature: 7) LT 19. Date:

 

 

 

(Za Lo? RE.03.07