Development Application IDAS Forms 1 & 6 - OPW12/0468

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     Table I                                              Lot on plan description for strategic port land                                                                                                                                                                        Port authority for the lot




     Table J                                              Name of local government for’ the tidal area (if applicable)                                                                                                                                                           Port authority for the tidal area (if applicable)




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         [Z1 No                                           D Yes-ensure the type, location and dimension of each easement is included in th~ plans submitted
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                                                          D                           Yes-ensure the nature, location and dimension of proposed works are included in plans submitted



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                                    No-go to question 15                                                                         DYes
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         [{] No
         D Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the
                                    receipted QLeave form


     Table K                                              Amount paid                                                                          Date paid                                                                           QLeave Project Number (6 digit number starting with A, B,
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             o No
             D Yes-please provide details below

         Name of local government                                                                                                                                               Date ofwritten notice given                                                                                     Reference number of written notice given
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                                                                                                                                                                                by local government                                                                                             by local government (if applicable)




                                                               5                                                                                                                                                                                                                                                Application details-IDAS form 1
                                                                                                                                                                                                                                                                                                                      Version 1.0 18 December 2009