Development Application IDAS Forms 1 & 6 · OPW12/0360

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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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                     No
                                      D Yes-ensure the type, location and dimension of each easement is included in the 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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         G1" No-go question               to                            15                           DYes

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         0"          No


         D Yes-complete table K,and submit with this appl ation the yellow local government/private certifier’s copy of the
                     re   eipted QLeave form


    Table K                           Amount paid                                                                   Dpte paid                                                        QLeave Project Number (6 digit number starting with A, B,
                                                                                                                                                                                     E, Lor P)




         @"          No


         D ,Yes-please provide details below

         Name of local government                                                                                                              Date ofwritten notice given                                                   Reference number of written notice given

                                                                                                                                               by local government                                                            by local government (if applicable)




                                           5                                                                                                                                                                                                Application details-/DAS form 1
                                                                                                                                                                                                                                              Version 1.0 18 December 2009