MCU14/0044 IDAS Forms 1 & 5

 

Table K

 

 

 

 

 

Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)
fn Ho
8. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
waiter etc)

 

Cl No Xx Yes—ensure the type, location and dimension of each easement is included in the plans submitted

 

9. Does the proposal include new building work or Operational work on the premises? (Including any
services)

 

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

 

10. Is 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.)

 

[| No—gotoquestion12 [Xf Yes

 

 

11. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more
information.)

 

 

[] No

x] Yes—complete Table L and submit with this application the yellow local governmenvprivate certifier's copy of the
receipted QLeave form .

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number
, \ : fn (dd/mmfyy) __ | Starting with A, B, E, L or P)

 

Pry

 

 

 

 

 

12, Has the local government agreed to apply a superseded planning scheme to this application under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

 

 

[] 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)
La (dd/mm/yy)
OT ES

 

 

 

 

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