img-630164925-0001

 

 

 

 

5. 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

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

 

Table F

 

Name of owner/s of the land

 

IWe, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land

 

Date

 

 

Table G

 

Name of owner/s of the land

 

 

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

 

 

By making this application, |, 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)}—complete Table |

On strategic port land under the Transport Infrastructure Act 1994—complete Table J

On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

a

O ‘

CI In a tidal water area—complete Table K
=

O

O

Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

 

Table |

 

Name of water body, watercourse or aquifer

 

 

 

 

IDAS form 1—Application details
Version 4.1—4 July 2014