10/0367 - Op Works - Transport Type 5 [As Published] · 142010.367

 

 

 

ats: ‘owner's: consent. Fequired. for.this.application? (refer to. notes at the. end of this form for more information),

 

 

[J No

[Yes - complete either table D, table E or table F as applicable

 

Table D (note: do not complete this table if lodging the application on-line using Smart eDA)

 

 

Name of owner/s of the land {CHRIS KRITZINGER 2 Wi

 

  

We, the above-mentioned owner/s of the land, consent

Wa of this application.

 

 
 

 

Signature of owner/s of the land

 

 

Date lfoxfre -

 

 

Table E

 

 

 

." Name: of owner/s of thé land, ”

 

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

 

Y 7

Table F

 

 

Name of owner/s of the land

 

 

. a "By. making this appli¢ation, I, the ‘applicant declare that the owner has given written consent to the making of
the, application. a . .

 

a

 

9. “Does the: aplication involve a state resource? e. g. the application invowves state land,or Tang quarry".
ie oh .
Oe gay

   

 

(]Yes - complete table G

 

 

 

 

ittify if any’of the following apply'to the premises (tick applicable Box/es) >» ede

 

 

—X] adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
[J _ on strategic port land under the Transport Infrastructure Act 1994 - complete table |

O in a tidal water area - complete table J

 

Table H Name of water body, watercourse or aquifer

 

4 |NOOSA WATERS CANAL

 

 

 

 

11. Are’ there. any existing easements on the Premises? (e.g. for vehicular access, electricity, overland flow,
. ws : eS th ge

 

 

 

 

 

[XJNo_ [{_] Yes - ensure the type, location and dimension of each easement is included in the plans submitted

 

" , Application Details, - IDAS form 1
Version 1.0 18 December 2009