0015E664.001

01/88/2087       ~=—s-« 14:59                             ee                                                                                       L
                                                                                                                                   NO. 129         bo2

                                                                                                                      Part a, Version 2.6, 29 May 2006
        INTEGRATED AANNING AC                            owners consent to the making of this       application:             —-
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          >   Wdasagamnent Act 1995.07                   sa
          * OV) work on raid commitor tana defined under tha (iit)
          .   Toonagaat lnttectructine Ad 1958,         weet ee scecceeracce
           Sexton 38.A(2}a) ol the PA provides that                        Torr ttc sec tens en ete ele mae es Nise eecceeecnenececeeee}es coageaeds
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           "Resource entero ge              a Se                                                          SSeS         SS
           Sa       enutlement    apes)            21. Does this application Involve-a State resource prescribed under a regulation /atiar nen cwoveg
           ,         o pelPa mau    eritece ct     FRO cern                 ty educa        Cost Prlecton and Kangomet Ac 18657?          .                     .
          Grn 82a of            PA   ren                       meas                          CI YES   pom azz
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            cecum cannot taken ba prpaty mae      2. This application is accompanied by eviience: (sek eppdvable bax)
           _ Reo schecula 10 of the integrated Pisaaing  (ii) the chief executive of the department administering tre resourve is satisfied the
 @         | ania 19 Sto ope         tas of ees                development fs consistent with an allacation of of entitlement to, the resource go
                    1988       ,                                           ;       ‘No                   .           °
            evelopment appticaion,                          _  023                              ve
       .                                               C1 (ill) the chief executive of the department administering the resource Is satisfied the
   Ne                                                        development application May proceed in the absence of an ajlocat{on of, or
                                                              éntiflement to, the resource ~ 90 tp 023              :
     ‘——   Aibdice tor somatating 023             23. Evidence of the resource entitlement
          The mttcrration in () ~ (v) ts mandatory if gridenes ts .     a:                    ,                      .              -
          haves one’ GZS) ohana                       (i) Resource entitierient / authority detaile          (vii) Officiat stamp of the department
          The ofetal stamp of tte Department of Ngtaras              _                      :                    administering the resource (if
          apaieaton inctves my veneer va               i)  N      td         offi                                     =
          ‘aed onde On ee        te 0 quarry          (i)   Name o        ted.afficer
               a A lows th rasours manager tor         ;
           conglent tee  wautenine (vi) ent bo       (ii) poston cleat          fi
                                                     (iv)        a officer
                                                      (v} Date -             a          :          “
@                                                    (vi) Pe at eee ey abe)                                                     Ce
              smenttigges         SS          Tog
    \~ Assesement triggers                     24, mee Assessment Checklist compteted and attached to thiy application?
          ee cacti doe Det abet 8 the sentcation roxio     S           :     LINO = ine              ae.                     ;         .
            amples        Aan B af the Form aak.                           .           MO asgesunerd manager may refuse to accent this application an the
 .       Pa be completed fra tne bene                                  __.   "-__...   Saunas that the application has not bean property made
:        — Ss           PURERDE bien               rtp ccie ee                       a  :                        a
         Plans / drawings ! reparts             25. Plans/drawingstreports accompar   ing this appiication: —
        An application should be accompanied by detail                                                                                                  ,
           et    pepe ns             eae                 Pian Driwiag /ReportNumber          |              Tite       |e
 i      | CRBAEGOS, PefERTS agancies ahd any parson viewiig .
        * the eppbication duting pubia. ecruBny or pubtc (i)
 '      - Rotfieaicn to understand the scope af tho propatal OOO ead er wen ena n a enew enn   Semmes enw maar asm anee st nyen
 |       ad ary potent impact                         (i)
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        PLEASE NOTE: The fasessment manager may refuse to accept an application that, at ihe time of dgement, ls fo provide at appicat inlormation required ty Panta
                         and any other relevant sant af Farm 1.
 |      OFFICE USE ONLY     (apptcablp to assessment manoger’)                                                     |
      ee
 /                                          Notification of Engagement of Private Coftifier (Optiang! format)
 1    ia)                 .                               Council! trave bean engaged as tha private certhier for the building work roferred to in nis appheation. .
         eo degummn         fT      Asetéeltation Number            Nemes
 ‘                                                                                                                _             168    2002/80/TO
              -                                  antean aTaaTan @ A                                 EEGS-ELPS-20            bai6