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OPW14/0239 - Prescribed Tidal Works Application - 7 Peza Court, Noosa Heads

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          ,
•                           ,-   --

    Table K

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

    NOOSA

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

    [(]       No      0     Yes-ensure    the type, location and dimension of each easem ent is included in the plans submitted

    9.        Does the proposal       Include new building work or operational    work 0 n the premises?        (Including any
              services)


    0 No              [(]   Yes-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 thl s application?   (Refer to notes at the
              end of this form for more information.)

    [{]       No-go    to question 12       DYes

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

    o         No

    o         Yes-eomplete Table L and submit with this application the yellow local governmenVprivate certifier's copy of the
              receipted QLeave form

    Table L

    Amount paid                                                          Date paid          QLeave project number (6 digit number
                                                                         (dd/mm/yy)         starting with A, B, E, Lor P)




    12.       Has the local government agreed to apply a superseded           planning scheme to this application         under
              section 96 of the Sustainable Planning Act 20091

    [{]       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)
                                                        (dd/mm/yy)




                                                                                                          IDAS form l-AppltcatlOn details
                                                                                                                 VersIOn 3.0-1 July 2013

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