Development Application part 1 of 2 - IDAS Forms - OPW13/0163

        o Impact assessment             o Code assessment


Table C-Additional aspects of the application (If there are additional aspects to
separate table on an extra page and attach to this form.)

        o Refer attached schedule 0Not required


2. Is the application for a mobile and temporary environmentally relevant ac


xD          No-continue to question 3

D           Yes-complete Table 0and then go to question 6

Table D-name of each local govemment area in which the mobile and tempora




3. Location of the premises (Complete Table E and/or Table F as applicable.


Table E~treet address and lot on plan for the premises or street address and l
adjacent to the premises. (Note:this table is to be used for applications involving
(Attach a separate schedule if there is insufficient space in this table.)

       0 Street address and lot on plan (All lots must be listed.)
       0 Street address and lot on plan for the land adjoining or adjacent to the
             development in water but adjoining or adjacent to land, e.g. jetty, ponto
Street address                                                       Lot on plan
                                                                     description
Lot        Unit    Street      Street name and official    Post-     Lot no.    Plan t
            no.     no.        suburb/locality name        code                 and p


i)                 16          Mossman CRT ,Noosa          4567      156        N.218
                               Sound

ii)
iii)
             scheme details      the            involves