IDAS Form-1 2015 signed

SAE Sa Sc SE CR OR aR ree are ome Nee es

 

Table K

 

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

 

 

 

 

8. Are there any xi:
water etc) :

   

ments on the premises? (e.g. for vehicular access, electricity, overland flow,

 

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

 

9. Does the sroeme nenee oe paleling work or BF operational work on the premises? os any
services) _

 

 

C] No ¥  Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

10. Is the payment. Se teat epeicn ones levy aeaite fo tile ape cations? fer o'nees et the
end of this form for more information.) =

 

Y No—go to question 12 [] Yes

 

11. ‘Has the portable long selenye len ened? Retrioroles st Gren oftomiormo
information.) — 2
O No

Cc 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/mm/yy) starting with A, B, E, L or P)

 

 

 

 

 

  

agreed to apply a superseded planning scheme to this : — under
ble Planning Act 2009?

 

 

¥ No
C 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 3.0—1 July 2013