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Development Application IDAS Forms 1 & 6 · OPW12/0178

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Table 1        Lot on plan description for strategic port land                                             Port authority for the lot




Table J        Name of local government for the tidal area (if appliJ:able)                                Port authority for the tidal area (if applicable)




11. Ate there   any existing easements on t e premises? (e.g.for vehicular access, electricity, overland flow, water, etc.)
                                                                   t,                           .




b2f No         D Yes-ensure the type, location and dimension of each easement is included in the plans submitted

12. Does the    proposal i    clude new building work or operational work on the premises? (including any services)                                                                                                              ,f
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o No           D        Yes-ensure the nature, location and dimension of proposed works are included in plans submitted


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13. I,s the payment of a portii,ble long service leave levy applicable to this application? (refer to notes t the end of this
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form for mor’e information)’
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 G2t No-go to question 15                         DYes

 14. Ha~ the portable long se                  ic~ .Ieave levy been paid? (refer to notes at the’encl" fthis form’ for more informa on)

 ~ No
 D Yes-complete table K.and submit with this application the yellow local government/private certifier’s copy of the
          receipted QLeave form


Table K        Amount paid                                Date paid                            QLeave Project Number (6 digit number starting with A, B,
                                                                                               E, Lor P)




 15. Has the local government                  agre~d to pply a superseded planning scheme to ttis application und,er s~ctio;96 of
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 the Sustainable Pla~niniAct 2oo9?
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 o No
 D Yes-please provide details below

Name of local government                                                       Date of written notice given               Reference number of written notice given

                                                                               by local government                        by local government (if applicable)




                 5                                                                                                                 Application details-IDAS form 1
                                                                                                                                         Version 1.0 18 December 2009

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