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

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4 ‘

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

 

fer (own a se

  
 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

ir
3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include tand both above and below water)

TT +

 

 

 

 

 

 

 

  
 

 

Wistinng use of ihe prennses: ha ie Tee rf

O 4. Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

[1 | Vacant Land ‘|

5, _ Are there any existing easements on the premises? (e.g. for vehicutar access, electricity, overland flow, water etc.)?

 
 
 

&M No o Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted wah the application

er

apartment building, 30 lot residential subdivision, a bore, aquaculture)

     

oe

 
 

 

Timber jetty

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
(J) No 2) Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitt
Resource eh feabiey | i baa he mee etiora ery MeO oe

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State fand (leased and freehold), declared Fish Habiat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

O ) No - Goto Q9 oO Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.

ed with the application

   
  
 

     

       
    

EI TT a ETE

   
   

Complete Table H for applica’ use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995: or work an rail corridor land defined under the

Transport Infrastructure Act 1994 - provide details for each owner on a Separate row, ar an an attachment to this form if applicable.

 

 

 
 
  
    

 

 

 

 

 

bs e C premises:ow te é
Michelle Neylan VK,
1 Clo PO Box 299, 9 The Anchorage, Noosaville. QLD 4566 04/06/2009
Noosaville 4566 :

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application etectronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the ‘owner's consent. If the owner is a company, $127 of the Corporations Act 2007 ({Cwealth) detatis how a
company may sign as owners. Templates for the provision of owner's consent are available on the IPA website .

      
 
  
   

 

 

 

Table |

 

 

 

04-Jun-2009

 

 

 

 

 

 

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