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MCU16/0025 IDAS Form 1
Department of Infrastructure, Local Government and Planning Table J Lot on plan description for strategic port land Port authority for the lot Table K Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable) 8. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc) X No CE] 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) EC] 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.) X No—go to question 12 [] Yes 11. Has the portable long service leave levy been paid? (Refer to notes at the end of this form for more information.) [-] No Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the receipted QLeave form Table L Amount paid Date paid QLeave project number (6 digit number (dd/mm/yy) starting with A, B, E, L or P) 12. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of the Sustainable Planning Act 2009? X 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) (dd/mm/yy) IDAS form 1—Applicé rsion 4.2
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