07/1993 - Op Works - landscaping, carparking, access, frontage works, stormwater, erosion & sediment control [As Published] · 142007.1993

 

\ INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

 

Land owner's consent (if applicable)

Section 3.2. 1(3) of the IPA presegbes thet en
application must contain, or be supported by, the
vetitten consent of the land owmer/s, i the application
invohes:

@) a material change of use,

i). séconfiguration of a tot;

(i) work on land be bw high-water mark & not vathin a
canal es defined under the Coastal Protection and
Management Act 1995;0r,

(¥) work on rail odrridor fand defined under the
Transport Infrastructure Act 1994.

Section 3.8. 1(2\(2) of the IPA provides that

tandawner’s consent is not required for a mobile or

temporary ERA.

For more information refer to Guide 1

 

20.

Land owner's consent to the making of this application:

 

 

 

 

 

 

Name Signature ZZ Date
(i) Mathew Eexley 1 __| 2evosma7
(i) Joanne Exley AA KT 28/08/07
(iii) |
Zt
(iv)
(v)

 

 

 

 

 

 

Resource entitlement (i applicable) _
” Section 3.2.1(5) of the IPA requires evidence of
-Tesource entitlement be given for eppications that
: involve a Presanibed Sisip resource,

    
   
  

* Advice'for completing O21 & 22 :

Refer to scheduls-10 of the integrated Planning
* Regulation 1998 that prescribes the.nature of evidence
required by the State.in support of the beng ‘of this

 

“The information in (i) -,(v) is: mandatory if evidence is
“required under Q22 (ji) or (ii) shove.

-The official stamp of the Department of Natural
“Resources, Mines and Water is mandatory where the
pplication involves any water or riverine quarry
material under the Water Act 2000.

Section 3.2.1(5A) allows the resource manager to Imit
the time the évidence may be used: 023 (vi) must be
completed if the evidence is time Imited,

42h,

. This application’ Is accomparied by evidenc

23.

# a daté of evidence e = jicablay

4 Is the IDAS Assessmnie it Checklist completed and aiiached to this sie

Does this application involve a State resource prescribed under a regulation {other than involving
quarry material on State coastat land iunder the Coastal Protection and, Menagement Act 1995)?

BNO: 90 16024", : Ces: 90,0 022

 
      

ick applicable box}

 

development application may: proceed in the absence allocation of, or
entitlément to, ther FesOUrce = go fo Q23 | oo :

 

Evideriée of the resource ‘entitlement

(i) - Resource enlitlement/ = details
(ii) Hane cease fear
(ii) fastest es

iv)’. Signature of delegated officer

“wip Official stamp of the sepaitnent
-administering the resource i :
applicable) .. :

 

 

 

 

 

 

 

(v) Date: oe sr

 

   
  

& YES

    

EANO =the ‘aSsesstient manager may refuse to accep
: grounds that the application has not beeti properly made.

 

 

Plan drawings j rapt
An rappication Should be adcompatiied by details ®
. Support ‘the proposal & enable the. assessment’
manager, referral agencies and any person viewing
the appication during public scrutmy or public
‘nolification to understand the Scope of the proposal
and.any potenti impact.

 

25, "Plang/drawingsireports aécompanying this application:

 

Date

 

 

 

 

 

 

Plan/ Drawing / Report Number Title
(i) 10f4 Site Plan 27/08/07
(ii) 20f4 Floor Plan 27/08/07
(ili) 30f4 Elevations A - B 27/08/07
{iv) 40f4 Elevations B - C 27/08/07

 

 

 

 

P LEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable i information required by Part A
and any other relevant part of Form 1.

 

OFFICE USE ONLY (applicable to assessment manager ’s)

 

 

 

 

fee 2672 | peeves ileofey wns (PD Knee ne] nomsens | O71 49 3
Notification of Engagement of Private Certifier (Optional format) (/

To.

| Date ofengagement:, f  /

Accreditation Number:

Council. | have been engaged as the private certifier for the building work referred to in this apptication.

Name:

Signature: