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OPW14/0307 - Application for Prescribed Tidal Works

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

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

181   No    0      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)

o     No    181    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 informatio.n.)

181   No-go to question 12        o      Yes

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

o     No

o     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)



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   Has the local government agreed to apply a superseded planning scheme to this application under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

181   No
o     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 I-Application details
                                                                                                     Version 3Q-.1 July 2013
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