Appendix A - IDAS Form 1

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

       No              Yes—provide details below

List of approval referenc e/s                         Date approved (dd/mm/yy)                  Date approval lapses (dd/mm/yy)
REC12/0014                                            17/03/ 14                                 15/03/ 16

6.     Is owner’s consent required for thi s application? (Refer to not es at the end of this form for more information.)

       No

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

Table F

Name of owner/s of the land
I/We, 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

     The owner’s written consent is attached or will be provided separat ely to the assessment manager.

Table H
Name of owner/s of the land

     By making this application, I, the applicant, 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.)

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

       On strategic port land under the Transport Infrastructure Act 1994—complet e Table J

       In a tidal water area—c omplete 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 Environment al Protection Act 199 4 (no table requires completion)

Table I

Name of water body, watercourse or aquifer




                                                                                                       IDAS form 1—Application details
                                                                                                              Version 4.1—4 July 2014