Amended IDAS Form 1 and 6 · OPW16/0306

ES PORIGUG UE TUS UKs, LUC UU SHgiy Gare raise

 

 

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

L] No LY Yes—provide details below

List of approval referenge/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)
Wey LE 20 23 wie Z_ rh

| 6. Is owner’s éonsent required for this application? (Refer to notes at the end of this form for more information.

EX no

LJ] Yes—complete either Table F, Table G or Table H as applicable

 

 

 

 

 

 

 

 

 

 

 

Table F

 

Name of owner/s of the land

 

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

 

Signature of owner/s of the land

 

Date

 

 

Table G
Name of owner/s of the land

 

 

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

 

 

Table H
Name of owner/s of the land

 

 

 

LC] By making this application, |, the applicant, declare that the owner has given written consent to the making of the application.

 

 

N

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)—complete Table |

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

In a tidal water area—~complete Table K

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

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

OOOOOO

Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) unde:
the Environmental Protection Act 1994 (no table requires completion)

 

Table |

Name of water body, watercourse or aquifer

 

 

 

 

IDAS form 1—Application deta
Version 4.2—-3 August 20