Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and Checklist 1 - OPW12/0272

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8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)



o No
~ Yes complete either table 0,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 ownerls of the land


IlWe, the above-mentioned ownerls of the land, consent to the making of this application.


Signature of ownerls of the land


Date



Table E



Name of ownerls of the land


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

Table F



Name of ownerls of the land               John & Elizabeth Balmforth


       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 the notes at the end of this form for more information)
                                                                                                   s_ ~




~No                                     DYes    -

                                                    complete table G


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


IZI      adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                             -




o        on   strategic port land under the Transport Infrastructure Act 1994 complete table I
                                                                                 -




o        in a tidal water area    -

                                      complete table J

Table H           Name of water body, watercourse or aquifer



         11       Noosa Waters Canal



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


!ZjNo 0Yes           -
                         ensure the   type, location and dimension of each easement is included in the plans submitted




                                                                                                 Application Details   -
                                                                                                                           /DAS form 1
                                                                                                   Version 1.0 18 December 2009