OPW11/0262 Development Application Part 1 of 2 IDAS Form 1 & 6 56 Saltwater Way Noosaville

S. is owner's consent required for this application? (refer to notes at the end of this form for more information)


q No

Z 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


I/We, the above-mentioned owner/s of the land, consent to the making of this application.


Signature of owner/s of the land


Date
                                                        41°11 t
Table E


Name of owner/s of the land

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


Table F


I Name of owners of the land

       By making this application, I, the applicant, declare that the owner has given written consent to the making of
       the application.


9. Does the application Involve a state resource?:(e.g. the application involves state land, or taking quarry.
materials. Refer to thenotes at the end of this form for more information)


® No                             U Yes - complete table G



10. Identify If any of the following apply to the premises (tick applicable box/es).

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


Table H11     Name of water body, watercourse or aquifer

              Noosa Waters Canal

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

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




                                                                                           Application Details - IDAS form I
                                                                                             Version 1.0 18 December 2009