Development Application part 1 IDAS Forms 1, 6 & IDAS Checklist - OPW12/0353

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2. What type Qf approval is being sought?                                                 .~..!I.’                                              3;.,oI! J     ~
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IZI development permit
o preliminary approval
o both provide details below
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3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?
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~ No
DYes complete table A and then go to question 5
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4_location of the premises (complete table 8 and/or table C as applicabJe.ldentify 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   Street       Street name and official                 Post                                                Plan type                       (e.g. Logan,Cairns)
                                                                                                     lot No.
                   No.     No.          suburb/locality name                    code                                         and plan no.

                                                                                                                                                              sunshine coast regional
            1             13       Sea Horse Place, Noosaville         4566                          312                    rp 895073
                                                                                                                                                              council

oStreet address flot on plan
     Street address flot on plan for the land adjoining or adjacent to the premises (appropriate for development in
IZI water
            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 Moreton Bay)


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

                                                                                                                            DGDA94
                                                                                                                            DWGS84
            1
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5.Total area of the premises on which the development is proposed (indicate hectares or m2)
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    710m2

6. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm, etc.)                                                                                         :.-       ’,’
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        11 1      house




7. Provide a brief description of the proposal (e.g.six unit apartment bui~ding, 30 lot residential subdivision etc.)


timber jetty




                                                                                                                                                            Application Details                        -
                                                                                                                                                                                                             IDAS form 1
                                                                                                                                                              Version 1.018 December 2009