Sun Lagoon IDAS Form 01 · OPW12/0598

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


~         No    0 Yes-ensure the type, location and di1mensionof each easement is included in the plans submitted
12. Does the proposal      include new building work or 0lperational work on the premises? (including any services)

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


13. Is the payment of a portable long service leave leh applicable to this application?           (refer to notes at the end of this
form for more information)

g'        No-go to question 15         DYes


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

~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)




15. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of
the Sustainable Planning Act 2009?

Q(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 details-IDAS form 1
                                                                                              Version 1.0 18December 2009