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Development Application Part 1 of 2 - IDAS Forms 1 & 6 · OPW12/0125

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8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)



o No
IZI 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 ownerls of the land               I ~AflV\ L A-:rll~                   ()"
IIWe, the above-mentioned ownerls of the land, consent to the making of this application_
                                                                    Dgitallv sianed bv Garv


Signature of owner/s of the         landl             f-        .
                                                                    Latimer
                                                                      Ie: 201 2.05.30
                                                               rOR2:13:54 +10’00’
                                                                                        i
                                                                                        \
                                                                                        !
                                                                                        i

                                                                                        I
                                                                                            I
Date                                      I 3o/~j,<.-                                       I




Table E



Name of ownerls of the land               I
 o The owner’s written consent is attached or will be provided separately to the assessment manager

Table F



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

9. Does the application involve a state resource? (e.g.the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)



IZl No                                   DYes    -
                                                     complete table G
                                                                                                                                 ’I:




10.Identify if any of the following apply to the premises (tick applicable box/es)



!ZI      adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                                    -




D        on    strategic port land under the Transport Infrastructure Act 1994 complete table I -




o        in a tidal water area     -

                                       complete table J

Table H            Name of water body, watercourse or aquifer


          11       Noosa Waters Canal



11.Are there any existing easements on the premises? (e.g.for vehicular access, electricity, overland flow,
      water, etc.)


rgJNo 0Yes            -
                          ensure the type, location and dimension of each easement is inoluded in the       plans submitted




                                                                               -.---------~PfJlicat Tj t iIS          _
                                                                                                                          IDAS form 1
                                                                                                        Version 1.018 December 2009

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