OPW11/0263 Development Application part 1 of 2 IDAS Form 1 & 6 13 The Anchorage Noosaville

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


q     No
® Yes - complete either table D, table E or table F as applicable



Table D (note: do not complete this table if lodging the app 'cation on-line using Smart eDA)


Name of owner/s of the land                                             /1V ' fi1 C- CXW4,4
I/We, the above-mentioned owner/s of the Ian , consent to the making of this application.


Signature of owner/s of the lan


Date
                                     E
Table E


Name of owner/s of the land

 q 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

 q By making this application, 1, the applicant, declare that the owner has given written consent to the making of
   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)


Z No                               q Yes - complete table G



10. Identify if any of the following apply to the premises (tick applicable boxes)


23        adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
          on strategic port land under the Transport Infrastructure Act 1994 - complete table I

          in a tidal water area - complete table J


Table H        Name of water body, watercourse or aquifer

                Noosa Waters Canal


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

     No    q Yes - ensure the type, location and dimension of each easement is included in the plans submitted




                                                                                                                . IDAS form 1
                                                                                                                9cember 2009