OPW14/0282 - Application for operational works - 10 The Anchorage, Noosaville

        Are there any current approvals (e.g. a preliminary             approval)   associated   with this
        a Iication?   Non-mandato    re uirement

       No           Yes-provide     details below

                                              Date approved (dd/mm/yy)      Date approval lapses (ddl
List of approval reference/s                                                mm/vvi

         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 F, Table G or Table H as applicable

[Table F

Name of ownerls of the land        I
l!We, the above-mentioned         ownerls of the land, consent to the making of this application.

 ignature of ownerls of the
and                                I
Date


 able G

Name of ownerls of the land        I
 The owner's written consent is attached or will be provided separately to the assessment
manaQer.

 able H

Name of ownerls of the land        I
 By making this application, I, the applicant declare that the owner has given written consent to the
makinQof the application.

~.       Identify   if any of the following     apply to the premises    (Tick applicable boxles.)

       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-
       complete Table I
       On strategic port land under the Transport Infrastructure Act 199~omplete        Table J
       In a tidal water area-eomplete         Table K
       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)
       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 I

Name of water body, watercourse or aquifer




~able J



                                                                          IDAS form 1-Application detai/s
                                                                                 Version 4.1-4 July 2014