Development Application part 1 of 3 Cover Letter and IDAS Forms - MCU13/0095

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     I    Retail Garden Centre and Coffee Shop




          5. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
          mandatory requirement.)

                No       ./
                               Yes-provide details below

          List of approval reference/s                          Date approved (dd/mm/yy)            Date approval lapses (dd/mm/yy)

          11884 Te


          6. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


          D     No

          ./
                Yes-complete either Table G, Table H or Table I as applicable

         TableG

         Name of owner/s of the land                 Ralph Rogers Marketing & Promotion Pty Ltd as Trustee for the R & K Rogers
                                                     Superfund & Ralph Rogers

         I/We, the above-mentioned owner/s~he-lanu,
                                                               ./"’\’"   .~makingof this application.
                                            (_                 ~
         Signature of owner/s of the land
                                                             _...J
                                                                             )~
         Date                                         J   7/.5. /2,01 3,
         Table H

         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 I

         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.



         7. Does the application involve a state resource? (E.g.the application involves taking water or quarry material, or
         interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
         requirement.)

         ./    No                D       Not identified whether or       D   Yes-complete Table J
                                         not the application
                                         involves a State
                                         resource




         Table J

         Nature of state-owned resource (if identified)




     4                                                                                                  IDAS form 1-Applici’lilO/1 cia/ails
                                                                                                              Va[~ion ? 0 31 March 2M3