Development Application Part 1 of 2 IDAS Forms 1and checklist 33 Seamount Qy Noosaville · OPW10/2196

8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


q No
® 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        Tony & Di Nicol            131 N wl s %i S /_ 2,        Pu       ^^ .


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


Signature of owner/s of the land


DateO                              •     /        i   /0

Table E


Name of owner/s of the land

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


Table F


Name of owner/s of the land

   By making this application, I, the applicant, declare that the owner has given written consent to the making of
 q the application.


9. Does the application involve a state resource? (e.g. the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)


® No                            q Yes - complete table G



10. Identify if any of the following apply to the premises (tick applicable boxes)

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

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

       in a tidal water area - complete table J


Table H       Name of water body, watercourse or aquifer

          1   Noosa Waters Canal


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

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




                                                                                               pl,cation Details- IDAS form 1
                                                                                               Version 1.0 18 December 2009