Development Application part 1 of 2 Application Forms OPW13/0004

         ODD
      Table E

      Name of ownerIs of the land
                                               I
’f oThe owner’s written         consent is attached or will be provided
                                                                          separately to the assessment manager




     Table F

      Name of owner/s of the land
                                               I
l<
     o By making this application, I, 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 application involves state land, or
                                                                                                            taking quarry materials.
      Refer to the notes at the end of this form for more information)


      ~      No
                                         o Yes-complete table G

     Table G-state owned resources (provide details for each state
                                                                          resource in a separate table)


      Nature of state-owned re~ource




     Nature of evidence required (tick the
     applicable box and attach a copy of the
     evidence to this form)
                                                     0 Evidence of        an allocation   of, or an entitlement to, the resource



                                                     0 Evidence the chief executive of the department administering the
                                                              resource is satisfied the   development is consistent with an allocation
                                                              of, or an entitlement to, the resource


                                                     0 Evidence the chief executive of the department administering the
                                                              resource is satisfied the development application
                                                                                                                   may proceed in the
                                                              absence of an allocation of, or an entitlement to,the resource



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


     D adjacent to water body, watercourse
                         a                          or   aquifer (e.g.creek, river, lake, canal)-complete table H
~    D    strategic port land under the Transport Infrastructure Act 1994-complete table I
             on



     o in tidal water area-complete table J
                a




     Table H        Name of water body, watercourse or aquifer




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                                                                                                  Application details-IOAS form 1
                                                                                                    Version 1.0 18December 2009