Development Application Part 1 of 1 · OPW12/0386

                                                                                                                                               i
                                                                                                                                               ,




DDD
e-mail address (non-mandatory)




1. What is the nature of development proposed? (tick all applicable boxes)



D       material change of use of premises

D building work
I:8J operational work
D reconfiguring a lot

12. What type of approval is being sought?
I:8J development permit
D preliminary approval
D       both      -

                      provide details below



3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?



I:8J     No

DYes complete table A and then go to question 5
               -




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)


Table B       -    street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the

premises

                                                                                         Lot on plan
                       Street Address
                                                                                         description
                                                                                                                Local government area
                       Unit       Str~et       Street name and official       Post              Plan type          (e.g. Logan,Cairns)
                                                                                     Lot No.
                        No.        No.          suburb/locality name          code             and plan no.


               1                 .7
                                           Honeysuckellane Noosa          4567                                 noosa
                           ,".             Heads

I:8J Street address / lot.,on plan’
                                 {lot on plar for the land adjoining or adjacent to the premises (appropriate for development in
D Stree! addres~
       wat~(.e.g. jetty_,,.pontoon)"
Table C       -
                   premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging
                                 in, ~oretoil Bay)
                                     ,

                                 .   .




                       Coordinates (note: place each set of
                       coordinates in a separate row)                            Zone                                Local government
                                                                                                   Datum
                                                                               reference                             area   (If applicable)
                         Easting           Northing   Latitude    Longitude

                                                                                               D GDA94
                                                                                               D WGS84
               1
                                                                                               D other




                                                                                                            Application Details   -
                                                                                                                                      IDAS form 1
                                                                                                              Version 1.0 18 December 2009