Development Application part 1 of 2 · OPW12/0084

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




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




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

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

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


               ~ Yes-ensure the nature, location and dimension of proposed works              are included in   plans submitted
o No

13. 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)


          No-go to question 15         DYes

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


 ~        No


 o Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the
          receipted QLeave form


Table K        Amount paid                    Date paid              QLeave Project Number (6digit number starting with A, B,
                                                                     E, Lor P)




                                                                                 scheme to this application under section 96 of
 15. Has the local government agreed to apply a superseded planning
 the Sustainable PlanningAct 2009?



 ~ No
 o Yes-please provide details below

Name of local government                              Date of written notice given      Reference number of written notice given

                                                      by local government               by local government (if applicable)




                -’>                                                                           Application details-IDAS form 1
                                                                                                Version 1.0 18 December 2009