00155885.001

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              INTEGRATED PLANNING ACT 1997                                                                                       Part A, Version 2.4, 29 May 2006
                VU                        med           PL a= (6) eases)              ell (e-leln                                                GEG                |

              "The completion of all applicable questions on Part A is mandatory for all applications. Part A must be accompanied by the completed IDAS Assessment Checklist if
                 ._Fequired, 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.qWi.govau. 7.
                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.
               Descriptionofland =.            S| 4.        ‘Street address: fncludinghouse number, street name, suburiviocality name & postcode) if applicable) ©.”
              “identfed, However, 8 description oft land i fot 67 Saltwater Avera   Nooas Waters                              _      —
              . Ervrmentay Relvant acy EF) “+12.            Name of water. body or watercourse, within which the development is proposed: (if applicable)
              _ development is proposed within a water body or” .    -     —           —                or              as     ms    me    GREE    He    ae
       }      . watecoursé;  =     “ole.             “13.  - Lot on plan description (eg. Lot 123 on RP 4567)/ GPS coordinates: =.               tg    So
              * Advice for completing Q3- Most landcanbé “| - * .                      a                                :                               aa
              _identifed by a lot on plan description. Thesedetais | - | Lot 150 on RP 883847                                                              :
               ;       i    om &                 th           ‘      :    tea   gg     Gi    me    48.0  3      cd      Be    ser    we           Cegh eee
               maps                   ee °             4. - The above description is for: (tick applicable box)         .                  ceed,          .
              * However, ifthe land on which the developmentis |. Dx] (i) the larid on which the development is proposed; or -       Pky
              te development proposed ina wate body Gr  ~   E/(ii) the lard adjoining the water body or watercourse, within which the development is
               watercourse) provide =                sf              propésed;or                                  oe            CR ae
               0 eninge                         >        1-1 Gi) the water body or watercourse,                  Fe
                 } GPS   coordinates where thereisno « ele    .     Cee                                           .                 Le              i
               m adiingfaciacent and (gin Moreton Bay / 5. _Shop/ tenancy number:      ~   6.-  Storey/level:           =~ 7.  Total area of land: (m? or ha):
               development is within a water body ‘or watercourse. “| ; ——      —      a     ss            .     =            i              —     =
               Advice for completing Q8- 08 applies if are              ee ee ee                Slant te eihiatane £          ‘.      Se
               developments win alocal goverment area, 8.   Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc) (if applicable)
               local government's area unless provided for under the J. = TSE         7        =               oT       =     a
              Local Government Act 1993.   ,           9. — Port authority for the strategic port land or strategic port land tidak area on which the’ «
              Advice for completing Q9~- Q9 applies if > - er     sa      ic   Mean   «fn   Dod At Drichaia Dai  ainevittes [if annlicah Pe               .
               developmentis on strategic portlandorastatege |. development is proposed: (ég. Port of Brisbafte, Port of Townsville) (if applicable). - ey .
              ‘Proposal details         ~            1 40." Existing use of the land: (eg. vacant single house, Sshopet;) =   se            we
       @       provided in an ‘attachment to the application. Detached Dwelling     —       =              -     _     =      -     ETE
                             ,                      ~ | 11. Proposed use of the land::(eg. 6 unit apartment building, 30 lot residential subdivision, ERA for aquaculture in
            .      :                                .       ponds with a total area of 7 ha for which wastes are released into waters fc). oe ccs ca
                                              ~< |        * | Home Based Business -Type 2 {interior design service)                                        z
              Other applicablé parts of Form 1       «| 12. Other parts of Form 1 completed as. part of this application: (eg. Part D, Pariet)-
               cy                                   |                                                                                                       :
               completed parts of Form 1. For information about . | |PartD and referals checklist                                                   ,      :
               when.a part of Form 1 may apply refertoGuidet, |.       :      we                                     RT                    eee
               ‘Applicant details =                     113: Applicant'sname:                      ___. 15. Contact person:                ee
               epnantneed fate te omer fthelnd,,      |,      Peter Selinger          .                   |     [eter Selinger                             ;
                When slaning and lodging this application | ./44. Contactnumber:                          16. ‘Facsimile number/e-mail address:
               ile   op rc Ged fs conor Thaiass weg   |    + | 8474-2255                                  : _ | [email protected]                    :
               narod oy Stale Lea                       17. Postaladdréss;     =.       sc                                                     Pee
                komdetPoncamesD oconGony              | |    [POBox TOHONecsawleDC 4568
                 byl be shih oO    1         VO*:       148, Signature;          ge     ne    a                               Date,      Uy
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