Part B LA08 Application for owners consent to development applications

 Attachments

 The following must be lodged with your application for it to be processed. If all this information is not submitted, your
 application will be returned or refused.

 14. Tick the box to confirm the attachments for part of the application:

             ✔ Part A online form – Contact and Land details or Part A – Contact and Land details (PDF)

             ✔ Copy of the relevant development application and all other necessary forms being –
                     ▪            original development application form e.g. DA form 1, PDA development application
                     form (does not apply to Code of Accepted development application)

                     ▪            sketches/plans of existing and proposed improvements proposed to be lodged with the

                                  assessment manager.
             Note: the department does not generally require the full development application, such as engineer
             drawings, but will require as much of the development application and plans that clearly
             shows the proposed development

             ✔ Evidence of pre-lodgement discussions with the department, if applicable.
              ✔ If the applicant is acting on behalf of a person that holds or will hold the tenure, written advice from that person
             advising you are acting for and on behalf of them, if applicable,

              ✔ If the applicant is acting on behalf of the person who will be occupying the state land (if no tenure is required)
             written advice from that person advising you are acting for and on behalf of them, if applicable.

              ✔ If the development application relates to a secondary interest in the state land e.g. sublease, trustee, lease
             etc., written advice from the lessee, trustee etc. (as relevant) that they support the application, if applicable.


 It is recommended that any attached plans, sketches or maps be of A4 or A3-size. For your application to be processed, all parts of this
 application form must be completed accurately. Otherwise, your application may be returned to you to complete or refused.


 Declaration

 I certify that I have read the information, which forms part of this application and the information I have provided is true and
 accurate.

 Signature of applicant (or their legal practitioner)




  Date:            30 / 11 / 2023

 If applicant, section 142 of the Land Act 1994 states a person is eligible to apply for, buy or hold land under the Land Act 1994 if the person is
 an adult, that is, 18 years of age or over. If the legal practitioner of the applicant is signing as the applicant then the legal practitioner’s full
 name must be printed immediately below the signature.




                                                                                  CLEAR FORM

LA08       2023/01                                                                                                                     Page 6 of 6
                                            © The State of Queensland (Department of Resources)