09/0731 - Operational Works - (Jetty) [As Published] · 142009.731

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.L-aMaich 2008
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Company/organisation name (if applicable) [Pite-t Ply Ltd tfa Noosa Jetty Builders

 

Individual appficantiContact person (if there is more than ane applicant, provide additional applicant details an an attachment to this form)

Title [Mrs First name Lastname |Reed

Postal address [Po Box 299, Noosaville. QLD 4566 |

Contact telephone number | (07) 5474 3480 | Mobile phone number 0408 137 526
Facsimile number (07) 5474 3480 e-mail address [email protected]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    
   

  

 

    
 

 

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4. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is given to identify the premises)
Table A {fthe application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

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

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() (CJ Street address Hot on plan for the premises (Appropriate for most applications including building applications): OF

(ji) [XJ Street address /lot on plan for the land adjoining or adjacent to the premises (Appropriate for development in water e.g. jelly,
pontoon etc} (Note: Loton plan detaifs may be oblained from tile decuments, a ‘Rate’ notice, or from the local government.)

 

  
  

  
 

 

  
   

 

 

 

 

 

 

 

 

 

 

Te ! == [eoten plan description
So ee ee ee Ben iipe and
Ss ae ee oie be Plan Nuinber a “
[1 9 The Anchorage, Noosaville QLO 4566 810 RP910419 Sunshine Coast Regional Councit
AND/OR
TableC Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a {ot, in water (e.g. channel dredging in Moreton
Bay) etc.}

 
    

 

 

 

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2. _ Identify if any of the following apply to the premises by completing Tables D, E, or F. (Note: in most instances, the premises will not involve any of
the following characteristics, however some applications may involve one or more of these characteristics - complete only if applicable)