IDAS Form 1 signed

 

 

 

 

 

a) [_] Yes—provide details below

 

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

 

 

 

 

 

 

 

 

 

fes at the end of th

 

6. Is. owner's consent requ

 

[] No

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

 

Table F SAK WAR Cioedon

 

Name of owner/s of the land

 

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

 

 

Signature of owner/s of the land ce 2, QO
Q—— ,

 

Dae 1K \O. Geith

 

 

Table G

 

Name of owner/s of the land

 

 

C 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

 

 

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

 

 

 

 

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)

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

7.

O

O

C] In a tidal water area—complete Table K
O

O

O

 

Table |

 

Name of water body, watercourse or aquifer

 

 

 

 

 

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