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MCU14/0044 IDAS Forms 1 & 5

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

 

L] No —X{  Yes—provide details below

 

 

 

 

 

 

 

 

 

 

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)
QA 20\0.334 [1-6-1

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

[J No

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

Table F

Name of owner/s of the land [ Newer Le [\D AL SrA

 

 

IMWe, the above-mentioned owner/s of the land, consent to the making of this application

 

Signature of owner/s of the land / eee

 

Date SL

 

 

Table G

 

Name of owner/s of the land

 

 

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

 

 

Table H

 

Name of owner/s of the land

 

 

im By making this application, |, the applicant, declare 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.)
(_] Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table |
C On strategic port land under the Transport Infrastructure Act 1994—complete Table J
[_] Ina tidal water area—complete Table K
CT] On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
[_] On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)
Table |
Name of water body, watercourse or aquifer N | / Aa
Table J
Lot on plan description for strategic port land i Port authority for the lot
Sp AX

 

 

 

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

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