07/1992 - Op Works - Landscaping, carparking, access forntage works, stormwater & erosion & sediment control [As Published] · 142007.1992

INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006

 

 

Land owner's consent (if applicable) 20. Land owner's consent to the making of this application:
Secton 3.2.1(3) of the PA prescribes that an i
zpptcation must contain, o be supported by. the Name Signature 7 Date

 

itten of the tand fs, if the appication
ines ome e ee (i) Mathew Eexley /> > | 2810807

(1) 3 material change of use;

Ll
@) figuration of a bt; ~~
w yak on bod bebe igh-water mark & nol within a (i) Joanne Exley LZ LF is00007

 

 

 

 

 

 

 

 

 

 

 

 

canal as defined Under the Coastal Protection and O alae

Management Act 1995;0¢ "i a
(@¥) work on rail corridor land defined under the (iii) A

Transport infrastructure Act 1994.
Section 3.8.1(2K@) of the IPA provides that .
lendowner's consent is not required for a mobile or (iv)
temporary ERA .
For more information refer to Guide 1, (v)
Resource entitlement (if apicable) 24. Does this application involve a State resource prescribed under @ regulation (other than involving
* Section 3.2.1(5) of the IPA requires evidence of quarry material on State coastal land under the Coastal Protection and donagement Act 1! $95)?

_ fesource enitlement be ‘given for applications that

 

I No- 010.024 [DYEs - goto 022
Section’3.2 40Xa\(ii) of the [PA presorbes that an

‘application cannot be taken to be properly made 22. This application i is accompanied by evidence: (ick app ie ‘box}

“et ine recite oe me entenen : 1 @) ofthe allocation of, or entitlement fo; the resource
vice for completing Q21 & 22 —
Refer to schedule 10 of the Integrated Planning O i) the chief executive of the department administer

Regulation 1998 that prescribes the nature of evidence
rod Oy tre Stolen copper ol the beeing of tae development is consistent with. an allocatio
development appication:- . 0
Pete as i) (ii) the chief executive of the department achrinisteting th res urce is satist ied the

development application may proceed in the absence ¢ an ‘allocation of,-or
” entitlement to, the resource’~ go to 023 . :

 

    
  
 
  
 

 

 

idence and go to Q23{vi)

e resource is Satisfied the
If entitlement to, the fesouree = go

 

      

Advice for completing Q23 23. | Evidénée of the resouite entitlement:
The information in (i) = (v) is mandatory if evidence is . -

regfed under G22 (ior (i) bow. (i) Resource entitlement / authority details -#-+(Vii) Official’ stamp of the department
Resources, Mines ard Water is mandatory where the 7 “ applicable) : .
application involves any water or riverine quemry (ii) Name of delegated officer :
Section 3.2:1(5A) allows the resource manager bo imit .

the time the evidence may be used. Q23 (vi) must ba

conpbted tthe endence’s fine ited. (iii) Position of a officer

(iv) Signature of delegated officer

 

 

 

 

 

 

 

0) Date

(vi) Fe ; cael eer at — EAE) PASS

. 24, \s the IDAS Assessment Checklist completed anda att \
This checkist does: ‘net apply ift the ippteation requires Q& YES .

 

 

 

 

    
  

 

 

 

 

 

 

 

 

the compltion of Pars A and B of the Form only. I “TINO - the assessinent manager refuse | to accept’ this application on the
must be completed for all other applications, grounds that the application ‘fas'not been Properly friade
Plans {drawings {reports — 25. Plane/Grawingslfeports ac accompanying this application: : wl.
Aer ie hopenald eae te occocinent Ste Plan / Orawing / Report Number Title Date
manager, referral agencies and any person viewing a ,
the application during pubfe scrutiny or public (i) = 10f4 Site Plan 27/08/07
ratification to understand the scope of the proposal ~
and any ' pofentialimpact. Moe (ii) 20f4 Floor Plan 27/08/07

, (ili) 30f4 Elevations A - B 27/08/07

(iv) 40f4 Elevations B - C 27/08/07

 

 

 

 

 

 

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

 

  

OFFICE USE ONLY (applicable to assessment manager's)
:® 2640 >DATE aft 2(2)., RECEIVING OFFICER'S | Q

fe. RECEIVED “NAMEN
Notification of Engagement of Private Certifier (Oplional form

        
  

       

 

 

To Council. | have been engaged as the private cettifier for the building work referred to in this application. '

Date ofengagement: / / Accreditation Number. —— Name: . Signature: