OPW14/0266 - Private jetty application - 12 Seahorse Pl, Noosaville

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

 ~        No         D     Yes-provide        details below


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



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

 ~       No

 D Yes-complete             either Table F. Table G or Table H as applicable

 Table F

 Name of ownerls of the land

 Itwe, the above-mentioned         ownerls of the land, consent to the making of this application.

 Signature of ownerls of the land


 Date

 Table G

 Name of ownerls of the land                    I
 D The owner's written consent is attached or will be provided separately to the assessment manager.
 Table H

 Name of ownerls of the land                   I OJ & K Passenger
 ~      By making this application, I, the applican~ declare that the owner has given written consent to the making of the application.

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

 ~       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)--almplete                 Table I

 D        On strategic port land under the Transport Infrastructure Act 1994-complete                   Table J

 D        In a tidal water area-complete            Table K

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

 D On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)
 Table I

 Name of water body, watercourse or aquifer

 Noosa Waters Canal

 TableJ

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




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