Development Application IDAS Forms 1 & 6 - OPW12/0510

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    ODD
Table E


Name of owner/s of the land              I
D The 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
D 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 t the notes at the end of this form fDr mDre informatlDn) Iii!     ill!
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~ No.                              D Yes-complete table G

Table G-state Dwned resources (prDvide details for each state resource in a separate table)

Nature Df state-Dwned reSDurce




Nature Df evidence required (tick the

applicable box and attach a copy of the
                                                D         Evidence of an allocatiDn of, Dr an entitlement to., the reSDurce
evidence to this fDrm)


                                                          Evidence the chief executive Df the department administering the
                                                D          eSDurce-i’s-s-at+sftecl-the-d evele~.ment-i-S-G(}R-si-stent-w-i.th-a l’l-aUDcati.o.n
                                                          Df, Dr an entitlement to., the reSDurce


                                                D         Evidence the chief executive Df the department administering the
                                                          reSDurce is satisfied the     development applicatiDn may prDceed in the
                                                          absence of an allDcatiDn Df, Dr an entitlement to., the reSDurce




!:? Ide~tify if any of the L?lIowi~g apply to the pr~mises (tick applicable bDx/es)             ,*’      ~"!    .
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D adjacent to. water body, watercourse
                    a                           Dr   aquifer {e.g. creek, river, lake, canal)-cDmplete table H

D      on   strategic pDrt land under the Transport Infrastructure Act 1994-cDmplete table I

D      in a tidal water area-cDmplete table J




Table H        Name Dfwater bDdy, watercourse Dr aquifer




                4                                                                                     Application details-/DAS form 1
                                                                                                        Version 1.018 December 2009