Part 1 of 2 - Part 1 of 2 - IDAS Form 1 - 24 Neptune Ct, Noosaville · OPW10/2151

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|B-Is-owner's: consent required -for this-application?-(refer-to- notes. at-the.end_of.this.form_for.more_information)_—__|

 

 

 

(1 No

Yes - complete either table D, table E or table F as applicable

 

Table D (note: do not complete this table if lodging the application on-line using Smart eDA)

 

 

Name of owner/s of the land = John & Valde Keech Torn &€ VacoR KEECH .

 

\We, the above-mentioned owner/s of the land, consent to the making of this application.

Signature of owner/s of the land) ZZ ; Kaw eb) 4a Kary ©

Date Aes Qastebet Joo.

 

 

 

 

 

Table E

 

 

Name of owner/s of the tand

 

 

(1) The owner's written consent is attached or will be provided separately to the assessment manager

 

Table F

 

 

 

Name of owner/s of the land

 

oO By making this application, |, the applicant, declare that the owner has given written consent to the making of
the application.

 

 

9. Does the application involve a state resource? (e.g. the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)

 

 

 

KI] No (Yes - complete table G

 

[10. identify if any of the following apply to the premises (tick applicable box/es)

 

{X} adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
(1 __ onstrategic port land under the Transport infrastructure Act 1994 - complete table |
C __ ina tidal water area - complete table J

 

Table H Name of water body, watercourse or aquifer

 

1 | Noosa Waters Canal

 

 

 

 

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

 

 

 

{XJNo [Yes - ensure the type, location and dimension of each easement is included in the plans submitted

 

Application Details - IDAS form 1
Version 1.0 18 December 2009