IDAS Form 1 signed

 

 

 

Table J

 

 

 

 

 

 

Lot on plan description for strategic port land Port authority for the lot
Tabie K
Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)

 

 

 

 

 

 

[] No [¥ Yes—ensure the type, location and dimension of each easement is included in the plans submitted

 

 

 

CL] No [4 Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

 

 

No—go to question12 [] Yes

 

 

 

  

14, “Has the portable long service leave levy Deen. paid’

fer to notes at the end-of this form formore
‘information: ) ; : ve

 

 

MM No

CO Yes—complete Table L and submit with this application the yellow local government/private certifier's copy of the
receipted QLeave form

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number
(dd/mmiyy) starting with A, B, E, L or P)

 

 

 

 

 

 

12.. Has the:local government agreed to:apply a superseded planning scheme to this application under
section 96 of the Sustainable Planning Act 2009?

 

 

No

Cc] Yes—please provide details below

 

Name of local government Date of written notice given | Reference number of written notice given
by local government by local government (if applicable)
(dd/mm/yy)

 

 

 

 

 

 

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