IDAS Form1 · MCU14/0024

 

 

Table K

 

Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)

 

 

 

 

 

 

mw No E] Yes-—ensure the type, location and dimension of each easement is included in the plans submitted

 

 

 

E] No i Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

 

 

LW No—go fo question 12 [] Yes

 

 

 

 

 

Oe. Mor Applicable

E] “Yes—complete Table L and submit with this application the yellow local government/private certifier's copy of the
‘ receipted QLeave form

 

 

‘TTabie L
Amount paid Date paid QLeave project number (6 digit number
NOT Applicable (dd/mmiyy) _ | Starting with A, B, E, L or P)

 

 

 

 

 

 

 

 

 

LH No .

[] Yes—please provide details below

 

 

 

 

 

 

 

Name of local government Date of written notice given | Reference number of written notice given:
by focal government by local government (if applicable)
(dd/mm/yy) .
| Pore alde Serica Leave Peeqmoul will be made by

bailder [-o rhe Certifisr before reCecuing Corti fication
ey .

IDAS form 1-—-Application details
Version 3.0--1 July 2013