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MCU14/0053 IDAS Forms 1 & 5

of 10

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5.

 

 

No [| Yes—provide details below

 

List of approval referencé/s ‘Date approved (dd/mnmiyy). Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

 

6 ls eWWner’s consent required for this formation.)

plication? (Ref

 

 

 

[] No

BX] Yes—complete either Table F, Table G or Table H as:applicable

 

Table.F

 

Name of owner/s of the land Carwmera, Inu Krenis > Jt

 

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

 

Signature of owner/s of the land lle ,

 

Date 04(07/ Zole+

 

 

Table G

 

Name of owner/s of the land

 

{_] The.owner's writien consent is attached or will be provided séparately to the assessment manager.

 

 

Table H

 

Name of ownér/s of the land

 

 

 

CT By making this application, J, the applicant, declare that the owrier has given written consent tothe making-of the application.

 

 

 

Identify if any of the following apply to the premises (Ti

 

 

Adjacént.to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table |

On strategic port land under the Transport Infrastructure Act 1994—complete Table J

th

CO

CO

[_] _ Ina tidal water area—complete Table K
CL On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)

On airport land under the Aiport Assets (Restructuring and Disposal) Act 2008.(no table requires completion)

 

Table |

 

Name of water body, watercourse. or aquifer

 

 

 

Table J

 

Loton plan description for strategic port land Port authority for the tot

 

 

 

 

 

 
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