08/1663 - Operational Works - Prescribed Tidal Works - Transport Type 5 - Domestic Marine (Jetty) [As Published] · 142008.1663

 

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INTEGRATED PLANNING ACT 1997 not Part A, Version 3.1, 3 March 2008

 

 

 

 

 

 

Compariylorganisation name it applicable) [Pite-it Pty Ltd ta Noosa Jetty Builders

 

Individual applicant/Contact person {if there is more than one applicant, provide additional applicant details on an attachment to this form)

e Title [mrs | First name Lastname |Reed

Postal address [PO Box 299, Noosaville. QLD 4566, ‘|
_ : Contact telephone number Mobile phone number i
- , . Facsimile number e-mail address

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‘ 1 Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
. « . . .
., Table - If the application is for a mobile and temporary Environmentally Relevant Activity (ERA), comptete Table A only. Then go to Q2.

 

 

 

 

 

 

OR , . ’
Table B Street address for the premises (tick applicable box/es below and insert property description in the table. Identify each fot in a separate row.)

@ (i) ([] Street address / lot on plan for the premises (Appropriate for most applications including building applications); OF

(ii) [J Street address flot 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 from title documents, a ‘Rate’ notice, or from the local government.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 14 Key Court, Noosa Heads. QLD 4567 178 Sunshine Coast Regione! Councit
2 13 Cooran Court, Noosa Heads QLO 4567 198 Sunshine Coast Regional Counci!
“AND / OR :
TableC Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a lot, in water (e.g. channel dredging in Moreton

   

 

Bay) etc.)
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eeZone
Pat tare
Reference:

 

 

   
 

 

 

 

| ef the following apply to the premises by contpleting Tables D, E, or F. (Note: in] Trost instances, the premises will not involve any of
eters, however some applications may involve ore of moré of these ‘characteristics - complete only if applicable)
wo os A