10/0661 - Op Works - TransportType 5 [As Published] · 142010.661

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ie. Is owner's consent required for this application? (refer to notes at the end of this form for more information)

 

 

[J No

] Yes - complete either table D, table E or table F as applicable

 

Table D (note: do not complete this table if lodging the application on-line using Smart eDA)

 

 

Name of owner/s of the land _|diseeKeasby Sais ©. Meese? & Guedts 1. vest

 

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

Signature of owner/s of the land RA \,
x AN =

Date 29+ A. OV

Table E FO.

 

 

 

 

O

 

 

 

 

 

Name of owner/s of the land

 

 

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

 

Table F OO.

 

 

Name of owner/s of the land

 

 

oO By making this application, |, the applicant, declare that the owner has given written consent to the making of
the application.

 

 

9. Does the ‘application involve a state resource? (e.g. the application involves state land, or taking quarry
materials: Refer, to the notes at the end of this form for more information)

 

 

No L]Yes - complete table G

 

 

10. 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 H
(__ onstrategic port land under the Transport Infrastructure Act 1994 - complete table |

L]__ ina tidal water area - complete table J

 

Table H Name of water body, watercourse or aquifer

 

1 |Noosa Waters Canal

 

 

 

 

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

 

 

 

DJNo [Yes - ensure the type, location and dimension of each easement is included in the plans submitted

 

Application Details - IDAS form 1
Version 1.0 18 December 2009