14623 DA - Change a development approval [As Published] · 131998.981605.2

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Table E

 

 

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

 

 

Name of owner/s of the land

 

[] By making this application, I, the applicant, declare that the owner has
application. -

 

given written consent to the making of the

 

9. Does the application involve a state resource? fe.
Refer to the notes at the end of this form for more information)

No E] Yes—complete table G

g. the.apptication involves.state land, or taking quarry materials.

Table G—state owned resources (provide details for each state resource in a separate table)

 

Nature of state-owned resource

 

 

Nature of evidence required (tick the

evidence to this form)

 

applicable box and attach a copy of the [_] Evidence of an allocation of, or an entitlement to, the resource

C] Evidence the chief executive of the department administering the
resource is satisfied the development is consistent with an allocation

of, or an entitlement to, the resource

CI Evidence the chief executive of the department administering the
resource is satisfied the development application may proceed in the
absence of an allocation of, or an entitlement to, the resource

 

 

 

10, Identify, iRany.of-the fottowing apply to the. premises (tick.applicable.box/es)

 

 

 

LC] adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete table H

Cl on strategic port land under the 7ransport Infrastructure Act 1994—complete table |

. EC] in a tidal water area—complete table J

 

Table H Name of water body, watercourse or aquifer

 

 

 

 

 

Application details—IDAS form 1
Version 1.0 18 December 2009