IDAS Form 1 signed · MCU17/0044

Department of Infrastructure, Local Government and Planning

 

 

 

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

Ix] No [-] Yes—provide details below

 

2s 1

F List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy) |

 

|

 

 

 

Yer emptiness

[| No

[x] Yes—complete either Table F, Table G or Table H as applicable

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

| Table F

| Name of owner/s of the land Asp 72 pZ2 pe fy Mewaggun ent pre Sperty frat

i/We, the above- mentioned owner/s of the “iand egnsent to! the making of this application. |

Signature of owner/s of the land area s—

aa TE 7

Date |

 

 

[Tables

pes

| Name of owner/s of the land

The owner's wr ‘iien consent is attached or will be provided separately to the assessment manager. |

 

 

 

 

 

 

 

  

i 7 able H

Name of owner/s of the land

 

 

 

[| By — this application, |, the applicant, declare that the owner has given written consent to the making of the application. |

Identify if any of the following apply to the premises (Tick applicable box/es.)

 

t | Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table |
[-} On strategic port land under the Transport Infrastructure Act 1994——complete Table J

|] Ina tidal water area—complete Table K

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

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

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

 

Name of water body, watercourse or aquifer

IDAS form 1—Application details
Version 4.3—-5 December 2016