Development Application - Part 1 of 2 Application Forms · OPW11/0256

03/06 2011 10:13 FAX
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    8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


    q No

        Yes - complete either table D, table E or table F as applicable


    Table D (note: do not complete this table if lodging the application on-line using Smart eDA)


    Name of owner/s of the land        Belmont Park Investments Pty Ltd


    I/We, the above-mentioned owner/s of the land, consent to the making of this application.


    Signature of owner/s of the land


    Date


    Table E


    Name of owner/s of the land

    [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

      By making this application, 1, the applicant, declare that the owner has given written consent to the making of
    q 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)


    q No                           ® Yes - complete table G




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