Form 1 and 7 · REC14/0015

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

 

 

 

 

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

 

 

 

(N)Yes—ensure 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)

 

 

 

nofes)-ensure the nature, 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.)

 

 

 

Q)-20 to question 12 Yes

 

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

 

 

 

No NOT RPPRICHALE

Yes—complete Table L and submit with this application the yellow local
government/private certifier’s copy of the receipted QLeave form

 

Table L

 

Amount paid|Date paid |QLeave project number (6 digit
(dd/mmiyy)|Number 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 Has the local government agreed to apply a superseded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 2009?

 

 

 

No NOT APPA CHALE

Yes—please provide details below

 

Name of local Date of written notice |Reference number of written
government given by local notice given by local
government government (if applicable)

(dd/mm/yy)