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Development Application Part 1 IDAS Forms 1 & 28 · OPW10/2184

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8. 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 D, table E or table F as applicable



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


Name of owner/s of the land
                                   t

I/We, the above-mentioned owner/s of              , consent to the making of this application.


Signature of owner/s of the land


Date

Table E


Name of owner/s of the land


 [,, The owner's written consent is attached or will be provided separately to the assessment manager


Table F


Name of owner/s of the land

   By making this application, I, the applicant, declare that the owner has given written consent to the making of
 q 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                            q Yes - complete table G


10. 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 H
       on strategic port land under the Transport Infrastructure Act 1994 - complete table I

       in a tidal water area - complete table J

Table H       Name of water body, watercourse or aquifer

          1   Noosa Sound

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

® No [] Yes - ensure the type, location and dimension of each easement is included in the plans submitted




                                                                                                  . 1 1. .:.e a.;: - IDAS form I
                                                                                                 =rsior 0 18 December 2009

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