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09/0828 - MCU - Entertaining & Business Type 1 [As Published] · 132009.828
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)
Name of water body, watercourse or aquifer (if known)
ft na
Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
Lot on plan description for strategic port land Port Authority for the lot
[1 na
Table F Complete if the premises are in tidal water
Name of local govemment for the tidal area (if applicable) Name of port authority for the tidal area (if applicable}
(1 Wa
3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)
Total area of premises
2.82 (C)m? [hectares (Tick applicable unit)
Existing use of the premises ~~ = = De "so "7 |
4. — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)
[4 [Retail Business (shop) |
5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, avertand flow, water etc.)?
& No Oo Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
[Proposal details ]
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)
Type 1 Food & Beverages (Entertainment & Dining Business use class)
7. Does the poposal include new buildings or operational work (including any services) on the premises?
Oo No & Yas - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
(Résource entitlement (if applicable) - further information is provided in the advice section at the end of the form ]
8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
involves State land fleased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)
& No - Got Q9 | Yes - Complete fable G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitfement must be submitted with the application. You do not need to answer Q9 - go to the next section.
[Owner's consent (if applicable) _- further information is provided in the advice section at the end of the form 1
9. Complete Table H for applications involving a material change of 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 on rail corridor land defined under the
Transport infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.
Premises Owner's name/s Details of the premises owned ‘ . Date consent
Table H and postal address (street address or lot on plan description) Owns’ spare was obtained
: : Noosa Fair Shopping Centre, 3 Lany; : pib.2b.oF
Noosa Fair (Holdings) Pt =
1 oN a ir (Holdings) Pty Way, Noosa Heads and is legally Tow SN Apne
FRAES EES,
described as Lot §4 on RP 139776 4
con
¥ v/
* Owners signature cannot be provided on the form if you intend to submit the application electronically. Owner's jent yh
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, 5127 of the’ Coy i
company may sign as owner. Templates for the pravision of owner's consent are available on the IPA website .
to the assessment manager on an
ns Act 2001 (Cwealth) detailshowa D Rzito€s
Attachments and supporting information (Complete Table! - Use a separate row for each type of attachment or information, including information required
funder this Part} Please ensure all documentation submitted with this form, including other Parts of Form 1, or owner's consent, etc, are securely attached to this Part of the Farm.
Description of attachment or information te /
Table | (e.g. Part C of Form 1, owner's consent, evidence of resource Title (if appticable)
allocation/ertitiement. plans, drawings, reports)
1 IDAS Form D and Checklist
Date Method of delivery to
{e.g. General Authority James StreetTraffic Report) assessment manager
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