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MCU14/0087 - IDAS forms, Proposal & Plans - 13 Noosa Dr, Noosa Heads

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         5.     Are there any current approvals               (e.g. a preliminary    approval)   associated   with this application?       (Non-
                mandatory requirement)


         o No                rt1     Yes-provide    details below

         List of approval reference/s                                Date approved (dd/mmlyy)                  Date approval lapses (dd/mmlyy)

              51
I.       6.     Is owner's         consent   required for this application?         (Refer to notes at the end of this form for more information.)


         o      No

         ~      Yes-complete          either Table F. Table G or Table H as applicable


         Table F

         Name of ownerls of the land

         IlVVe, the above-mentioned          ownerls of the land, conseni to the making of this application.

         Signature of ownerls of the land


         Date

         Table G

         Name of ownerls of the land                   I
         ~    The owner's written consent is attached or will be provided separately to the assessment manager.

         Table H

         Name of ownerls of the land                   I
         o By making this application, I, the applicant. dedare that the owner has given WJittenconsent to the making of the application.
     17.        Identify     if any of the following       apply to the premises       (Tick applicable box/es.)
                --.-=
         o      Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete                   Table I

         o      On strategic port land under the Transport Infrastructure Act 1994-complete                   Table J

         o      In a tidal water area-complete             Table K

         o      On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)

         o      On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

         o the
           Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
                Environmental Protection Act 1994 (no table requires completion)

         Table I

         Name of water body, watercourse or aquifer
                        /"

                /'




                                                                                                                        IDAS form 1-Appilcauo0     detall~.
                                                                                                                               v~,SIOIl 4 1-4 ,July 701

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