Development Application - Part 1 of 2 - Covering Letter, IDAS Forms 1, 6 & 28, Title Search & Compliance Certificate 15 · OPW12/0511

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            ODD
       a copy of the certificate of title for the land   (including tidal land)that would abut    ~ confirmed
       or   adjoin the proposed works

       details of how the proposed work addresses the IDAS code for prescribed tidal
                                                                                                  ~ confirmed
       work in the Coastal Protection and Management Regulation 2003, schedule 4A


       details of the largest vessel, if any, to be moored at the structure
                                                                                                  ~ confirmed
                                                                                                  D not applicable
       evidence that the proposed work will not prejudice the access rights of adjoining
                                                                                                  ~ confirmed
       property owners in the form of:
                 .   letters of support from adjoining property owner, or

                 .
                     plans illustrating a water allocation area

       For applications within a cul-de-sac, a bend in the waterway or other location where the side boundaries of the lot
       connect to the work and neighbouring lots are not at
                                                                      righ~ angles to the waterway
       photos of any constructed neighbouring structures or information about                     ~ confirmed
       approved but unconstructed neighbouring structures
                                                                                                  D not applicable

      Privacy-please refer to your assessment manager for further details on the use of information recorded in this form.



      OFFICE USE ONLY



       Date received                                                 Reference numbers




      The Sustainable PlanningAct 2009(SPA)is administered by the Department of Infrastructure and Planning. This form and all
      other required application materials should be sent to your assessment manager and any referral agencies.




                     3                                                                           Prescribed tidal work-IDAS form 28
                                                                                                      Version 1.0 18December 2009