23576 DA - Change a Development Approval [As Published] · 132003.221108.2

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8. ls owner's consent required for this application? (refer to notesat the end of this form for more information)

 

 

 

 

>

Lj No

K] Yes - complete either table D, table E or table F as applicable

 

Table D (note: do not complete this table if lodging the application on-line using Smart eDA)

 

 

Name of owner/s of the land

 

We, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land

 

 

Date

 

 

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 Lo Pe RCL:

 

wy by making this application, |, the applicant, declare that the owner has given written consent to the making of
the application.

 

 

9. Does the application involve a state resource?:(e.g. the applicatio involves state land, or taking qua
materials. Refer, to 9 the notes at the end of this fort formore informati in)

a

  

 

[x] No Yes - complete table G

 

 

10. Identify if any of the following apply to.the premises (tick applicable box/es)

 

(] adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
{] _ onstrategic port land under the Transport Infrastructure Act 1994 - complete table |
[] _ ina tidal water area - complete table J

 

 

   
 

14. “Are there ‘any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow;
ae water;

   

 

[XJNo [(] Yes - ensure the type, location and dimension of each easement is included in the plans submitted

 

Application Details - IDAS form 7
Version 1.0 18 December 2009