IDAS form 1 · MCU15/0007

 

 

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

 

(A No [1  Yes—provide details below

 

 

 

 

 

 

 

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)
6. is owner's consent required for this application? (Refer to notes at the end of this form for more information. ) |
[_] No

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

 

Table F

 

Name of owner/s of the land

 

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

 

 

Signature of owner/s of the land

 

 

 

Date

 

 

| Table G

Name of owner/s of the land | Chris 2 Pauline Bank
| [A The owner's written consent is attached or will be provided separately to the asse: nt manager.

 

 

 

| Table H
| Name of owner/s of the land
| CL By making this application, |, the applicant, declare that the owner has given written consent to the making of the applicator. |

 

 

 

tt} { | | L

 

 

Identify if any of the following apply to the premises (Tick applicable box/es. ) I

 

sce

Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Tabie |

On strategic port land under the Transport infrastructure Act 1994—complete Table J

In a tidal water area—complete Table K

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)

Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

oooooo |*

 

Tablet
Name of water body, watercourse or aquifer