MCU15/0120 Development Application - 6 Stevens St, Sunshine Beach

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                                                                                  Department of Infrastructure,   Local Government and Planning




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

    B'" No             0     Yes-pro    vide details below


    List of approval reference/s                             Date approved (dd/mm/yy)                   Date approval lapses (dd/mm/yy)



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


    0       No

    ~      Yes-complete       either Ta ble F, Table G or Table H as applicable


    Table F

    Name of ownerls of the land

    IlWe, the above-mentioned        ow nerls of the land, consent to the making of this application.

    Signature of ownerls of the Ian d


    Date

    Table G

    Name of ownerls of the land

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

    Name of ownerls of the land                  I J & S Douglas
    of   By making this application, I, the applican~ 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.)

    o       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete               Table I

    o On strategic port land under the Transport Infrastructure Act 1994-complete Table J
    o       In a tidal water area-complete       Table K

    o On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
    o On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)
    o Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
            the Environmental    Protection Act 1994 (no table requires completion)

    Table I

    Name of water body, watercourse or aquifer




I Table J
                                                                                                              IDAS form I-Application details
                                                                                                                  Version 4.2-3 August 2015