08/0310 - MCU - Wellbeing Type 2 - Social [As Published] · 132008.310

INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007

Applicant detaits (continued)

individual) contact person details _
Tite iL _ [Fist name | YLTL YZ. | ast name | BALMER
Postal address . ks box \4y TEWANTIN 455
Contact telephone number él, S44q SWZ

Mobile phone number : 5444 S344,

Facsimile number

e-mail address Doalwer ©_KVaosa sho ae! ad

 

 

 

 

 

 

 

 

 

 

Owner's consent and resource entitiement
140. Does the application involve a State-owned resource prescribed by schedule 10 of the Integrated Planning Regulation 1998 (IP Reg) or
oe regulation?
No (ves - Complete a new Table J for each State-owned resource and submit, with the application evidence of resource allocation or

entitlement

Table J

 

Nature of State-owned resource
Nature of evidence required

Allocation/entitlement a ai ae State Government ; Date of
reference number Name of authorising officer | Position of authorising officer Department Date of issue expiry

 

 

 

 

 

 

 

 

 

 

fc

11. Does the application ipvolve land other than State-owned land (ie. privately owned fand) and require owner's consent?
YY

0 No

 

es - Complete Table K and submit, with the application, written documentation of all owner's consent

 

 

 

 

 

 

 

Table K
Owner name/s Street address or lot on plan description Date written consent was obtained
[1 [NocSa Counties Geox Idt TeWAnTN | ocTo ged 19, 2008)
¥

Mandatory attachments and supporting information

12. What are the other parts of IDAS Application Form 1 submitted with this application, and the other mandatory attachments and
supporting information accompanying this application, not identified in those other form Parts?

~ Description of attachment or information Title (if applicable) . : .
(e.g. Part Cof Form 4, owner's consent, evidence of (e.g. General Authority, James Street Date Method of delvery to assessment
resource allocation/entitiement, plans, drawings, reports) Traffic Report) anage

 

 

 

 

 

[1.

Portable Long Service Leave (PLSL)} levy for buitding and construction work

 

 

13. Is payment of a Portable Long Service Leave (PLSL) levy required for building and construction work before a development permit for the
wr can be given?
No - Comptete Q13a)
13(a) Indicate the reason PLSL is not applicable.

The application is not for building and construction work under the Building and Construction industry (Portable Long Service
Leave) Act 1991, section 3AA (e.g. the application is only for a change of use or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests); or

(J Allcosts, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST: or
-3-