Driveway 6 Habitat Place Noosa Heads · OPW15/0197

Department of Infrastructure, Local Government and Planning

 

 

 

 

 

 

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)

 

 

 

 

 
 
  
 
 

 

 

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

 

 

 

/
| No [4] Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

 

 

 

 

A No—go to question 12 [] Yes

 

 

 

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/mmiyy) starting with A, B, E, L or P)

 

 

 

 

 

 

  

 

 

 

 

 

 

EI 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 4.2-~3 August 2015