07/0568 - MCU - Detached House [As Published] · 132007.568

INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

Form 1 Development Application

Common details

RERFIVED
29 MAR 2007

HCOSA SHIRE Coie
FRONT COUN

 

 

 

The completion of all appficable questions on Part A is mandatory for al applications. Part A must be accompanied by the

 

  

Description of land
All land the subject of the application, must be

"identified. However, a description of the land is not
required in relation to a mobile or temporary

Tequired, and by one (1) or more other completed parts of the Form as required. For more information on the parts of the Form refer
Any information requested in the form may be provided in an attachment to the application. For further information about completing the folowing detaks

1.

 

Street address: fncludinghouse number, street name, suburb/locality name & postcode) (if applicable)

( NoOnGAk STREET Gotten FONT

 

 

 

 

 

 

 

 

Environmentally Relevant Actvity (ERA). 2. Name of water body or watercourse, within which the development is proposed: (if applicable)

Advice oe common G22 ct | |
elopment is proposed within a water or

watecourse, 3. Lot on plan description (eg. Lot 123 on RP 4567) GPS coordinates:

Advice for completing Q3 - Most tand can be

idenffied by alot on plan description. These detais | Lo7.3 KP LA? GFZ...

Cae Be documents ortrough the 1 4 The above description is for: (tick applicable box)

Howover, if the tand on which the development is Ww the land.on which the development is proposed; or

proposed does gat have ajaion sn esorpton (ie. | [7] (i) the land adjoining the water body or watercourse, within which the development is

watercourse) provide ~ proposed; or -

a aenuefeotie aiogon fr the Dili) the water body or watercourse. ,

" Siomgiaqacen and fog in ton Bay). 5. Shop / tenancy number: 6. Storey / level: 7. Total area of land: (m? or ha):

Advice for completing Q7 - Q7 does ifthe . 2

Ase foc cometna GD G7 does n= | | Lod | {| 450m? |

foie foc completa 8 26 HS (xc. | Local government area in which the land is situated: (eg. Esk, Hervey Bay, Woocoo etc) (f applicable)

Note: Areas below high water mark are pot within a
focal government's area untess provided for under the

 

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Local Government Act 1993. 9. Port authority for the strategic port land or strategic port land tidal area on which the
‘Advice for completing Q9 - 09 if i . ‘
aoe patindora erategi development is proposed: (eg. Port of Brisbane, Port of Townsville) (if applicable)
port tand tidal area. For more details refer to Guide 11 [ |
Proposal details / 10. Existing use of the land: (eg. vacant, single house, shop etc.)
“einer . tails may be
reetcamnceemc™ | [ ___ VACAnJT |
: 11. Proposed use of the land: (eg. 6 uni apartment building, 30 lot residential subdivision, ERA for aquaculture in
ponds with a total area of 7 ha for which wastes are released into waters efc).
L DETR) HMCUSE -
Other applicable parts of Form 1 142. Other parts of Form 1 completed as part of this application: (eg. Part D, Part I, etc)
camped paar Form or iomaton sou [MG DF (ORS ASESSMENT CHEGKNST
when a part of Form 1 may apply refer to Guide 1, .
Applicant details 13. Applicant's name: 15. Contactperson: — |
: is making the soplicaion.
ppkeontnend ge eon ae an [ JOHN KRAK | [lowAl KHER |
When signing and lodging this application 14. Contact number. 16. Facsimile pumber/e-mail address:
"The {is responsible for ensuring the > ;
femaon pods et he eco [AL48232320( id hn Kircher? bespanel.car:
, any referral & the Chief Exc .
{where opplabi) ‘al lyon this information when | 17. Postal address:
ing and deciding the application. :
Fine avacartisacomaan-acovit psn fb SIE.
must be shown, 18. Signature: 19. Date: , /

 

Je [3/07]

 

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