Development Application IDAS Forms 1 & 6 - OPW12/0471

   DDD
Table I        Lot on plan description for strategic port land                    Port authority for the lot




Table J        Name of local government for the tidal area (if applicable)        Port authority for the tidal area (if applicable)




1~.!,Je ther,~.~nx~\existing e,asements on the premises? (e.g.for vehi~ular~access, electricity, ~~erland flow, wa!er"e~c.)


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

                                                                                                                                 * .""~
12.   DQes’the prQposal include new building work or operational work on the premises? (including any serv est
                                                                              .
                                                                                    d                  .




~ No           D Yes-ensure the nature, location and dimension of proposed works             are included in   plans submitted


1:3. Is the payment of a   p~rtable long servi   e leave   levy applicable to this application? (refer to notes at t e~end of this
form for more information)
                                                                                                                                      ,
                                                                                                  "7           ""




o No-go to question 15                DYes

14. Has the portable long service leave levy ,been paid? (refer to notes at the end of this form for more information)



~ No
D       Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the
        receipted QLeave form


Table K        Amount paid                  Date paid                QLeave Project Number (6 digit number starting with A, B,
                                                                     E, Lor P)




ls:"Has the local goyernment,agreed to’:apply a superseded planning sc~eme!o this appli,catioh under section 96 of
the Sustainable PlanningAct 2009?



~ No
D       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)




               5                                                                             Application details-IDAS form 1
                                                                                               Version 1.0 18 December 2009