09/1658 - Operational Works - Jetty & Boatlift [As Published] · 142009.1658

Part A, Version 3.1, 3 March 2008

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RECEIVED

Part A 2 3 NOV 2009

Common details

(OTE: Answer all questions unless directed to go to a particular question. Refer to the end of the farm for advice on how to complete this form.

 
   

 

Applicant details (The Applicant is the person responsible for making the application and need not be the owner of the land. The Applicant is responsible for ensuring the
information provided on the IDAS Application Form is correct. This information is relied upon by the Assessment Manager and any referral agencies when assessing and . *
(deciding this application. By todging this application, the Applicant incurs the: ‘obligations and responsil

approval that may be issued as a consequence of this application will be issuéd to'the Applicant,

 
 
 

  

 

 

 

 

 

Company/organisation name (if 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)

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]

Details of the premises (ie. the land on which the development is.proposed - refer to the advice at the end of the form) « “nnn naman ae |
1. Identify the premises by completing Table A, or Table B and/or Table C (ensure adequate information is gwen to identify the premises)
Table A |f the application is for a mobile and temporary Environmentally Relevant Activity (ERA), complete Table A only. Then go to Q2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

| “*" "Name of each local goverment atea in which the mobile and temporary ERA is proposed to operate

[1
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.)

 

 

 

 

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

(ii) Q& Street address /lot 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 focal government.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

     

 

: Street Address , Lot on plan description *
tht Greek , Plan type and Local governrient area a (eg. Loga
No.1 No. . i Street Name and official suburbMocality name “| Post Code Lot No, a Pian Number : . ‘Caims) / .
4 7 Saltwater Ave, Noosaville QLD 4566 881 SP 102594 Sunshine Coast Regional Council
AND/ OR
Table Coordinates and/or a map of the premises (Appropriate for development in remote areas, over part of a Jot, in water (e.g. channel dredging in Moreton
Bay) etc.)
Coordinates © . . ke
ot: place each set of coorlnates i ina a separate row) Zone . Local government area
; Reference Datum (if applicable) 4." .-
; 4 * Neithing i : + Longitude, pie: tant ‘ae OG
1  oepaes
C1 wesea
LD Other -

 

 

 

 

 

 

 

 

 

 

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)