OPW15/0056 - IDAS Forms Part 1 of 2

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  5.     Are there any current approvals            (e.g. a preliminary    approval)   associated   with this application?   (Non-
         mandatory requirement)

  ~      No         o Yes-provide details below
  List of approval reference/s                             Date approved (dd/mm/yy)                  Date approval lapses (dd/mm/yy)



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


  ~      No

  o      Yes-complete      either Table F, Table G or Table H as applicable


  Table F

  Name of ownerls of the land

  INJe, the above-mentioned       ownerls of the land, consent to the making of this application.

  Signature of ownerls of the land


  Date

  Table G

  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 H

  Name of ownerls of the land                 I
  o By making this application, I, the applican~ declare that the owner has given written oonsentto the making of the application.
  7.     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 I
  ~
  o On strategic port land under the Transport Infrastructure Act 1994-complete Table J
  o In a tidal water area-complete Table K
  o On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
  o On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)
  o      Listed on either the Contaminated Land Register (CLR) or the Environmental
         the Environmental Protection Act 1994 (no table requires completion)
                                                                                                    Management Register (EMR) under



  Table I

  Name of water body, watercourse or aquifer

  Six Mile Creek, within the Noosa Water Catchment Areas




                                                                                                           IDAS fonn I-Application details
                                                                                                                  Version 4.1-4 July 2014