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OPW14/0307 - Application for Prescribed Tidal Works

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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 referencels                               Date approved (ddlmmlyy)                Date approval lapses (ddlmmlyy)



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

o      No
129    Yes-eomplete      either Table F, Table G or Table H as applicable

Table F

Name of ownerls of the land

l!We, 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 Land is Leased from the Queensland Government
129 The owner's written consent is attached.

Table H

Name of ownerls of the land                 I
o By making this application, I, the applicanl declare that the owner has given written ccnsent to the making of the application.
7.     Identify   if any of the following       ap'ply to the premises     (Tick applicable boxles.)

129    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-eomplete                Table J
129    In a tidal water area-eomplete           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)

Table I

Name of water body, watercourse or aquifer

Noosa River

Table J

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




                                                                                                            IDAS fonn 1-Application details
                                                                                                                   Version 3.Q-1 July 2013
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