Development Application part 1 IDAS Forms 1 & 5 - MCU13/0079

     5. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
     mandatory requirement.)

    o      No      o      Yes-provide details below

    List of approval reference/s                           Date approved (dd/mm/w)                Date approval lapses (dd/mm/w)




    6. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


    o      No

    ./     Yes-complete either Table G, Table H or Table I as applicable

    TableG

    Name of owner/s of the land               G\ ’1Mf’16 TeG           p-,.’f LTD       AcN OQ.q 15,+ b3<%
    I/We, the above-mentioned owner/s of the land, consent to the making of this application.

    Signature of owner/s of the land                             aPHe:,.J    aL ,AS. ro>.J~1\. Of A"’lTe(\I\IE’I       ~ or"   ’
                                                             5
                                              JIll            GO~qI\D i1"\)-If\l tll’rktN’. O\R.IH.7"()!\. ~’1MPIE iJ’Gc rL~ltV
                                                                                                                   ,

                                                                                                                   09.>’\ ,-sq. b.~’h
    Date                                        C; ’t 11    AP~h_           l,Qt~

    Table H


    Name of owner/s of the land


    o The owner’s written consent is attached or will be provided separately to the assessment manager

Table I

Name of owner/s of the land


o By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application.



    7. Does the application involve a state resource? (E.g.the application involves taking water or quarry material, or
    interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
    requirement.)

./       No                o       Not identified whether or      o Yes-complete Table J
                                   not the application
                                   involves a State
                                   resource




Table J

Nature of state-owned resource (if identified)




4                                                                                                       IDAS form 1-Application details
                                                                                                             Version 2.0 31 March 2013