07/0557 - MCU - Multiple House Type 1 [As Published] · 132007.557

 

 

INTEGRATED PLANNING ACT 1997

Land owner’s consent (if applicable}

Section 3,2,1{3) of tha IPA prescribes that an
‘@pplication must contain, or be supported by, the
writen of the land owners, if the applicafion
involves:

i) a material change of use;

{®) reconfiguration of a lot,

{@) work on land below high-water mark & not within a
canal as defined under the Coasta! Protection and
Management Act 1995;0r

(1) work on rail corridor land definéd under the
Transport Infrastructure Act 1994,

Section 3.8,1{2}{a) of the IPA provides that
tandowner’s consent is pot required for a mobile or
temporary ERA

For more information refer to Guide 4

     
   
      
     
   
   
   
   
   
   
   
   
     
  

Part A, Version 2.4, 29 May 2006-
20. Land owner's consent to the making of this application:

 

Signature

 

 

 

 

 

 

 

Resource entitlement (if applicable)
Section 3.2.1{5} of the IPA requires evidence of
resource entitlement be given for applications that
involve a prescribed State resource.
Section 3.2.1(10}(2)(i) of the IPA prescribes that an
application cannot be taken to be properly made
without evidence of the resource entitlement.

24 &.
Refer to schedule 10 of the Integrated Planning

Regulation 1998 that prescribes the nature of evidence]

required by the State in support of the lodging of this
development application.

Advice for completing 023

The information in (i) - (v) is mandatory if evidence is
fequired under Q22 (ji) of (ii) above.

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

Section 3.2.1(5A) allows the resource manager to limit
the time the evidence may be used, Q23 (vi) must be
completed if the evidence is time limited.

Assessment triggers

This checklist does not apply if the application requires:

the completion of Pats A and B of the Form only. It
must be completed for all other applications.

21. Does this application involve a State resource prescribed under a regulation (other than involving

quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
LINO -90 to 024 (YES - goto. q22

This application is accompanied by evidence: (tick applicable bax)

C1 (i) of the allocation of, or entitlement to, the resource - attach evidence end go to 023(vi)

(Qi) the chief executive of the department administering the resource is satisfied the
development is consistent with an allocation of, or entitement to, the resource - go
fo Q23

(iii) the chief executive of the department administering the resource is satisfied the

development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go fo Q23

 

23. Evidence of the resource entitlement:

. (i) Resource entitement / “te details
Name of a officer

Position of “ae officer
Signature of delegated officer

cs
Date

(vii) Official stamp of the department e@
administering the resource (if
applicable)

 

(ii)
(ii)
(iv)

(v)

(vi) Ce date of evidence —

Is the IDAS Assessment Checklist completed and attached to this application?

(Yes (CI NO - the assessment manager may refuse to accept this application on the
grounds that the application has not been properly made

 

 

 

24.

 

Plans/drawings/reports accompanying this application:

 

 

 

 

 

 

 

 

 

Plans | drawings | reports 25.
prlosorrepie pred sghes hor aba Plan / Drawing / Report Number Title Date
manager, referral agencies and any person viewing , .
the application during public scrutiny or pubic () e2-bD7J+-o “re.
nofficaton to understand the scope of the proposal veneer Ta Te ften ete ace perce rent entsrnnssasnsnerensccccces sco AD FC.
and any potential impact. (i)

(iii)

()
PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A

and any other relevant part of Form 1.

 

OFFICE USE ONLY (applicable fo assessment manager's)

 

 

 

= DATE RECEIVING OFFICER'S "| REFERENCE _
[FEO 575 [| _ geceiven | 22/3/22 | ees 47 Sea 5 | Seow [o?/ss9 |
Notification of Engagement of Private Certifier (Optional tone}
To. Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

fof

Date of engagement:

Accreditation Number.

 

__ Name: Signature: