Development Application IDAS Forms 1 & 6 - OPW12/0510

   DDD
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.   Arf} there any ~xisting easements on~the premisesl/(e.g. f r vehic~:lar access, electricity)toverland flow, water; etc.)

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




1~. DQes the proposal includ~ new building work or operational work on the premises? (includJng any services)                                                                              ~
                                                                                                                                                                                               ,




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


13. 1,5 the payment pf a po’:,table long servtce leave leVY;,applicable to this applicatiolJ? (refer to notles at the .lend of.this
form for more information)                                      ,




                                                                    .’




~ No-go to question 15                                                   DYes
                                                                                     ’"
              ~!,!   .;   v’       ~:::;’                                 .jl-’">’                    ’Sj-,            ik’          n                           ,

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



D        No


D 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 (6 digit number starting with A, B,
                                                                                                       E, Lor P)




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15. Has the local govern~ment agreed to apply a supersede"d planning scheme to this applcation under sectio
                                                                                                                                                   __




                                                                                                                                                                                         96 of
the Sustainable Plannln8Act 2009?


         No


D 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)




                               5                                                                                                         Application det,1i/s-IDAS form 1
                                                                                                                                                Version 1.0 18 December 2009