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

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



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

o     No    D     YeS-€nsure the type, location and dimension of each easement is included in the plans submitted

9.     Does the proposal include new building work or operational work on the premises? (Including any
       services)

D     No    0     YeS-€nsure the nalure, location and dimension of proposed works are included in plans submitted

10.   Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the
      end of this form for more information.)

o     No-go to question 12        DYes

11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
      information.)

D No
D receipted
  Yes-complete Table L and submit with this application the yellow local government/private certifier's copy of the
            QLeave form

Table L
Amount paid                                                    Date paid        QLeave project number (6 digit number
                                                               (dd/mmlyy)       starting with A, B, E, L or P)



12.   Has the local government agreed to apply a superseded planning scheme to this application under
      section 96 of the Sustainable Planning Act 20091

o No
D     Yes-please provide delails below

Name of local government                       Date of written notice given   Reference number of wrillen notice given
                                               by local government            by local government (if applicable)
                                               (dd/mmlyy)




                                                                                              IDAS (ann 1-Application details
                                                                                                     Version 3.0-1 July 2013