OPW 14/0121 - Operational Works Application for Driveway · OPW14/0121

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

          No       0      Yes-provide        details below


 List of approval reference/s                                Date approved (ddlmm/yy)               Date approval lapses (ddlmm/yy)



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

         No

 o       Yes-eomplete      either Table F, Table G or Table H as applicable


 Table F

 Name of ownerls of the land

 I/We, the above-mentioned        ownerls of the land, consent to the making of this application.
 Signature of ownerls of the land


 Date

 TableG

 Name of ownerls of the land                   I
 o The owner's written consent is attached or will be provided separately to the assessment manager.
 Table H

 Name of ownerls of the land                   I
 o      By making this application, I, the applicant, declare that the owner has given written consent to the making of the application.

17. Identify If any of the following apply to the premises (Tick applicable box/es.)
 o Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-eomplete                   Table I

 o On strategic port land under the Transport Infrastructure Act 199~omplete Table J
 o 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




 Table J

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




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                                                                                                                  Version 3.0-1 July 2013