10/0712 - Preliminary building works [As Published] · 172010.712

 

 

 

 

 

 

KX] 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 = |SMJ Nominees Pty Ltd

 

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

 

 

Signature of owner/s of the land . (OY NL
L 2a _~

Date i

Table E VU

Name of owner/s of the land

 

 

 

 

 

 

 

 

LJ 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

 

g By making this application, |, the applicant, declare that the owner has given written consent to the making of
the application.

 

 

 

 

 

 

 

 

[J] adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
(1 | onstrategic port land under the Transport Infrastructure Act 1994 - complete table |

L] _ ina tidal water area - complete table J

 

Table H Name of water body, watercourse or aquifer

 

1 |Noosa River

 

 

 

 

 

 

 

 

IXINo [_] Yes - ensure the type, location and dimension of each easement is included in the plans submitted

 

Application Details - IDAS form 4
Version 1.0 18 December 2009