16216_IDAS Form 1_150217

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



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



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

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

9.    Does the proposal include new building work or operational work on the premises? (Including any
      services)

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

10.   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 to question 11               Yes

10a. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
     information.)

      No
      Yes—complete Table L and submit, with this application, the local government/private certifier’s copy of the
      accepted QLeave form

Table L
Amount paid                                                       Date paid        QLeave project number (6 digit number
                                                                  (dd/mm/yy)       starting with A, B, E, L, P or S)



11.   Has the local government agreed to apply a superseded planning scheme to this application under
      section 96 of the Sustainable Planning Act 2009?

      No
      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 4.3—5 December 2016