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IDAS Forms - OPW14.0226
Table K Name of local government for the tidal area (if applicable) 4 | Port authority for the tidal area (if applicable) WAL. 7 8, Are there any existing easements on the Premises? (¢.g. for vehicular access, electricity, overland flow, water etc) No (_] Yes—ensure the type, location and dimension of ach easement is included in the plans submitted 9. Does the proposal include new building work or operational work on the premises? (including any services)“ Cl No EY Yes—ensure the nature, location and dimension of Proposed works are included in plans submitted 10. 1s the payment of a porteble long service leave levy applleable to this application? (Refer to notes at the i of this form for more information.) C ot No—go to question 12 [] Yes 11. “fer the portable long service leave levy been pald? (Refer to notes at the end of this form for more jntarmation.) No Ol Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the receipted Qleave form Table L Amount paid Date paid QLeave project number (6 digit number (dd/mmiyy) _| Starting with A, B, E, L ar P) 12. Has the local government agreed to apply a superseded planning scheme to this application under Section 96 of the Sustainable Planning Act 2009? C Pf Wo [_] Yes—please provide details below Name of local government Date of wiitten notice given | Reference number of written notice given by local government by jocal government (if applicable) - (dd/mmi/yy) hh IDAS form 1—Application details Version 3.0—1 Juiy 2013
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