Development Application forms 1, 23 & 28, Covering Letter · OPW12/0139

   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 appUcable)


               >- vrJsl-\ lNR         eoA’S..<(

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


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

12. Does the   proposal Include new building work or operational work on the premises? (including any services)


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




13. Is the payment of a portable long service leave levy applicable to this application? (refer to notes at the end of this
form for more information)




~ No-go question
               to          15       DYes

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



D
D                plete table K and submit with this application the yellow local government/private certifier’s copy of the
                    Leave form




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




15. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of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 (ifapplicable)




             5                                                                          Application details-/DAS form 1
                                                                                           Version 1.0 18December 2009