Development Application Part 1 of 2 Application Form MCU12/0047

ODD

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



D No
~ Yes complete either table D, table E or table F as applicable
           -




Table 0(note: do not complete this table if lodging the application on-line using Smart eDA)



Name of ownerls of the land              [
I/We, the above-mentioned ownerls of the land, consent to the making of this application.



Signature of ownerls of the        landl
Date                                     [
Table E



Name of ownerls of the land              [JaCaranda    No 12 Pty Ltd (Trustee)


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

Table F



Name of ownerls of the land              [
       By making this application, I, the applicant, declare that the owner has given written consent to the making of
 D 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)



~No                                     DYes    -

                                                    complete table G



110. Identify if any of the following apply to the premises (tick applicable box/es)
~       adjacent t      a water   body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                             -




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




D       in a tidal water area     -

                                      complete table J

Table H         Name of water body, watercourse or aquifer



         11     Noosa River



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


~No DYes            -
                        ensure the    type, location and dimension of each easement is included in the plans submitted




                                                                                                 Application Details   -
                                                                                                                           IDAS form 1
                                                                                                   Version 1.0 18 December 2009