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OPW14/0262 - Application for Proposed Jetty - 29 Waterside Crt, Noosaville

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Table K

Name of local govemment for the tidal area (if applicable)          Port authority for the tidal area (if applicable)




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

rzJ No      D       Yes---ensure the type, location and dimension of each easement is included in the plans submitted

9.    Does the proposal include new building work or operational          work on the premises? (Including any
      services)

D     No    rzJ Yes---ensure the nature, location and dimension of proposed works are included in plans submitted
10.   Is the payment of a portable long service leave levy applicable to this application?          (Refer to notes at the
      end of this form for more information.)

~     N~o       to question 12     DYes

11.   Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
      information. )

D No
D     Yes-<:omplete Table L and submit with this application the yellow local govemment/private certifier's copy of the
      receipted QLeave form

Table L

Amount paid                                                     Date paid         QLeave project number (6 digit number
                                                                (ddlmm/yy)        starting with A, B, E, L or 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   Has the local government agreed to apply a superseded          planning scheme to this application         under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?

~     No

D     Yes-please     provide details below


Name of local govemment                         Date of written notice given    Reference number of written notice given
                                                by local govemment              by local govemment (if applicable)
                                                (ddlmmlyy)




                                                                                               IDAS (0"" 1-Applicsfion delails
                                                                                                      Ver&on 3.0-1 July 2013

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