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Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and Checklist 1 - OPW12/0432

of 14

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8. Is owner’s       consenlrE~quired for this application? (refer to notes at the end of this form for more information)

o No
cg] Yes complete either table D, table E or table F as applicable
             -




Table D (note: do not complete this table if lodging the application on-line using Smart eDA)



Name of owner/s of the land


I/We, the above-mentioned ownerls of the land, consent to the making of this application.



Signature of ownerls of the land


Date



 ~ble E


Nam’e of ownerls of the land
       \


o The owner’s written consent is attached or will be provided separately to the assessment manager

Table F



Name of ownerls of the land.
                                           \l\.~~~, ~~’"\ \-~’\...
~y          making this application, I, the applicant, declare that the owner has given written consent to the making of
      the application.


9. Does the application involve a state resource? (e.g. the application involves state land, ortaking quarry
                                                                                                                .



materials. Refer to the notes at the end of this form for more information)



cg] No                                   DYes    -

                                                     complete table G


10. Identify if any ofthe following apply to the premises (tick applicable box/es)


cg]        adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                                  -




o          on   strategic port land under the Transport Infrastructure Act 1994 complete table I
                                                                                     -




o          in a tidal water area   -

                                       complete table J

Table H           Name of water body, watercourse or aquifer


           11     Noosa Waters Canal



11. Are there any existing easementS,{b                 the premises? (e.g. for vehicular access, electricity, overland flow,
                                                                        .




      w~~~.)

cg] No      0Yes      -
                          ensure the   type, location and dimension of each easement is included in the p1 ns:submitted




                                                                                                      Application Details   -
                                                                                                                                IDAS form 1
                                                                                                        Version 1.018 December 2009

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