Development Application part 1 of 2 IDAS Forms

25/09 2013 15:09 R~ 0754852274                                                                   FRALEY                                                                                                                        ~007




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



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                                                                 $tat.i t 8 UrC~? (E.g.the applic ti9n jrivolv~s’ta ing weier or qU’ ’rry m i ~~,. ,’                                                                              ’            .




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         rii:.[@ferr ~rt)’,’,:.’r1:"’:"{’~<’::’;".?F’.:::~:-:’:;’.’::;:;.i’:’.’:.:-; !:’:!’:}:".~!;’:’:":"’:-:’....~,. .:’.:.: ~’,’:>:,:",;\--, ’:,;.:.t;~:i’~:’};;::-":" ~’.~>’;;(,:"~~"’Y/\’: ~:: -,":’:r;~:"’:,;:::, ::,::::.:
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        ci No                                          D         Not Identified whether or
                                                                                                                 0 Yes-complete Table J
                                                                 not the appHc:alion
                                                                 involves a State
                                                                 resource



        Table J

        Nature of State-owned resource
                                                                  (IfIdentlflBd)



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                   Adjacent to a water body, watercOUt’Sa or aquifer
                                                                                                            (e.g.creek, river, lake. canal)-complete Table K
        o          On strategic port land under the irans{)Orllnfrastructure
                                                                                                                          Act 10P4-complete Table L

        o          In a tidal water area-complete Table M

        o          On Brisbane core port land under the
                                                                                        Transport Infrastructure Act 1f} 4 (no table requires completion)
        o          On aIrport land under the Afrporl Assets
                                                                                            (Restruoturlng end DlsposaO Act 2008 (notable reCjulres completion)

      T~ble K

      Name of water body, wa1er(lourse or aquIfer

        Co             ttov\                     v..e.-ek .(
                                                                              ,....


     lable L

     Lot on plan de$crlptlon for
                                                       strategic port land                                                     Port authority for the lot




     Table M

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



      ~O" ra t~er~ any’.~18tj.nb: as~meni.s.o ~he ’pr~mlses? (e.g.for veh!cular
                                                                                                                              ~c~~s,., ’!l)~c~f. lty. oV!ilrl~~d flpw, wat~r.:
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     ~ No                   0 Yes-ensure the type, location and dimension of each easement Is Incruded In the plans submitted

     11. Do~s ~I:J~ propos
                                               nn.ciu~e ~~.w bl.\Uc(h19 ~~r~ 9.r operatlonaJ.Y,lork                                             n’ i’      pr~h i~~..?(in:~iil8(iig ’~iiY’s                                     df.j.)
                                      Yes-ensure the nature, location and dimension of proposed works are Included in
                                                                                                                                                                                                   plans submitted

    5
                                                                                                                                                                           JDIIS form 1-AppllCfltiOIl clemils
                                                                                                                                                                             V~f$/OIl 2.0 17 Dec/t/ll!Jef 2012