07/2552 - MCU - Detached House [As Published] · 132007.2522

INTEGRATED PLANNING ACT 1997 Part A, Version 3.0, 3 September 2007

6. Are there any existing easements on the premises (e.g. for vehicular access, electricity, overland flow)?

i No
[| Yes — Complete Table H and ensure the location and dimensions of each easement are included in plans, submitted with the application
Table H

 

Purpose of each easement Entity favoured by the easement

 

 

 

(4.

Proposal details

 

7, Are new uses proposed on the premises?

BY No

[Y Yes — Complete Table |
Table |

 

Each proposed new. use

 

 

 

HH. ~Deracte> \auee, »

 

8. Are new buildings or structures proposed to be erected on the premises?

[-] No
@ MJ Yes — Ensure the nature, location and dimensions of the proposed new buildings, stuctures or services are inchided in plans, submitted with
the application

Applicant details

9. Whois the applicant for the application?

 

 

 

 

 

 

 

 

 

 

 

 

 

Company or organisation name
(if spplicable) Mex eons iG PiL oY las. A@one. Homes -
Individual’ contact person details
Title MR. | First name | MATT | Last name | Beownin .
Postal address Ih LeatwoisvA Greer Rosonn GOs 4YSI5-
Contact telaphone number On S48 124.
Mobile phone number Ow ao O83 ase .
Facsimile number ON S48 34. -
e-mail address olodehomeS @ Oajor : nox. QU
© Owner's consent and resource entitlement
10. Does the application involve a State-owned resource prescribed by schedule 10 of the integrated Planning Regulation 1998 (IP Reg)
or any other regulation?
MI No

[_] Yes - Complete a new Table J for each State-owned resource and submit, with the application evidence of resource allocation or entitlement