IDAS form1 signed

oat RR CTR a a mS RARE SR RPG ZA EY foe aS a a NA EN

 

&, Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
mandatory requirement)

 

¥ No [_] Yes—provide details below

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)

 

 

 

 

 

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

[] No

¥  Yes—complete either Table F, Table G or Table H as applicable

 

 

 

 

 

 

 

 

 

 

| Table F
Name of owner/s of the land Rh. A. +H. #1. CARTER
We, the above-mentioned owner/s of the land, consent to the making of this application.
Signature of owner/s of the land ;
bE
Date 29/5/14
7 7
Table G |

 

Name of owner/s of the land

 

fe] The owner's written consent is attached or will be provided separately to the assessment manager.

 

 

Table H

 

 

Name of owner/s of the land R.A. + H.77 CARTER
| CL By making this application, |, the applicant, declare that the owner has given written consent to the making of the application.

 

 

 

™

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

 

 

 

Adjacent 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
In a tidal water area—complete Table K

On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)

OOOO0O

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

 

| Table |

 

Name of water body, watercourse or aquifer

 

 

 

Table J

 

 

Lot on plan description for strategic port land Port authority for the lot

 

 

 

 

 

IDAS form 1—Application details
Version 3.0—1 July 2013

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