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IDAS Forms - OPW14.0226
5. Are there any current approvals {e.g. a preliminary approval} associated with this application? (Non-
mandatary requirement)
[No Ky Yes—provide details below
List of approval reference/s te 2 Date approved (dd/mm/yy) Date approval lapses (dd/mmvyy)
LETS wih Coad.
| 6 Is owner's consent required for this application? (Refer tc 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
44 . Ly Ay
Name of owner/s of the land (OL ti Vile qj Fe At :
We, the above-mentioned owner/s of the land, fonsent to the making of fis application,
SY, Signature of owner/s of the land Vv
x Date
Table G
% Name of owner/s of the land
O The owner's written consent is attached or will be provided separately to the assessment manager.
Table H
Nameatt< awner/s of the land
C7 py making this appfication, |, the applicant, declare that the owner has given written consent to the making of the application.
| 7. 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}—camplete Table |
C “Bx Con Strategic port land under the Transport infrastructure Act 1994—complete Table J
ei a tidal water area—complete Table K
<6 On Brisbane core port land under the Transport Infrastructure Act 1994. (No table requires completion.)
SE On airport land under the Airport Assets {Restructuring and Disposal) Act 2008 (no table requires completion)
Table | iff
Name of water body, watercourse or aquifer Jy, A YP
UL
Table J ,
Lot on plan description for strategic port land t / / A Port authority for the lot
IDAS fom 1—Apaplication details
Version 3.0—~7 duly 2013
xv *K
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