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Development Application part 1 of 2 - Idas Forms 1 & 5 247-251 Gympie Tce Noosaville · MCU10/2022

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Fo
Table.| Lot on plan description for strategic port land Port authority for the lot
Table | Name of local government for the tidat area (if applicable) Port authority for the tidal area (if applicable)

 

 

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

A wo | Yes—ensure the type, location and dimension of each easement is included in the ptans submitted

 

 

‘s2Does the proposal in¢lude-new building work or operational work on the premises? (including any services)

No C] Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

13. 1s the payment of a portable long service leave levy applicable to this application? (refer to notes at the end of this
form for,more information) a . ,

Ey vo-#0 to question 15 C] Yes

44. Has the portable tong service leave levy been paid? (refer to notes at the end of this form for more information)

of )
C

Yes—complete table K and submit with this application the yellow local government/private certifier's copy of the,
receipted QLeave form '

 

 

 

 

Table K Amount paid Date paid QLeave Project Number (6 digit number starting with A, B,
. E, L or P) :

 

 

 

 

 

 

 

 

15, Has the local government agreed to apply a superseded planning scheme to this application under section 96 of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

A ve

[J 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}
5 oe ~~ ts “DAS form

Version 1.018 Decembe: 2009

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