Image (8).jpg · OPW14/0226

 

5. Are there any current approvais (e.g. a preliminary approval) associated with this application? (Non-
mandatory requirément)

OO No KY” Yeo—provide details below

List of approval reference/s Date approved (dd/mm/yy) Date approval iapses (dd/mm/yy)
ki yp ft ie
GHATS pWA Cordice/

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

( No

oO Yes—complete either Table F, Table G or Table H as applicable

 

 

 

 

 

 

 

 

 

 

| Table F

Name of owner/s of the land CALEV lib TIER. VA, i ¢

We, the above-mentioned owner/s of the land, fonsent to the making of iis application.

 

 

 

 

 

 

4 Signature of owner/s of the tand vi
x Date
Table G

 

Name of owner/s of the land

 

LC] The owner's written consent is attached or will be provided separately to the assessment manager.

 

 

Table H
Name af wner/s of the land
{iby making this appfication, |, the applicant, deolare that the owner has given written consent to the making of the application.

 

 

 

 

 

7. identify if any of the following apply to the premises (Tick applicable box/es.)

 

 

 

JX Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table |
[ On strategic port land under the Transport infrastructure Act 1994—complete Table J
In a tidal water area—complete Table K
r¢ On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
TSxon airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

 

 

 

 

 

 

Tablet Lt
Name of water body, watercourse or aquifer JY, TL il
of
Table J
Lot on plan description for strategic port land ZL J. Vy ih Port authority for the lot

 

 

 

 

 

IDAS form 1—Application details
Version 3.0—1 July 2013

x’ *K