img011.jpg · OPW13/0706

 

mandatory requirement)

5. Are there any current approvals (e. ee approval) associated with we ener (Non-

 

Y No [] Yos— poise sti ow

Zo

 

List of approval reference/s

Date approved (dd/mm/yyy~

Date approval lapses (dd/mm/yy)

 

 

 

Zo

Zo

 

 

 

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

[_] No
Yes—complete either Table F, Table G or Table H as applicable )
YAN UO

Table F

 

 

 

Name of owner/s of the land

icc prper ty pty wa

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

PACD

 

 

Signature of owner/s of the land

9, 7. BOS

 

 

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

 

 

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

 

 

 

 

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

 

   
   

Adjacent to a water body, watercourse or aquifer (e.g. creek, riyef. lake, canal)—complete Table |

On strategic port land under the Transport Infrastructure Att 1 994—complete Table J
In a tidal water area—complete Table K
On Brisbane core port land under the Transporf{ntrastructure Act 1994 (No table requires completion.)

|7
O
C]
L
|
O

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

Table | WA

Name of water body, watercourse or agditer

ZL

LZ

ZL

Lot on plan description forAtrategic port land

L

 

 

 

 

 

Table J

 

Port authority for the lot

 

 

 

 

 

IDAS form 1--