08/1689 - Operational Works - Signage [As Published] · 142008.1689

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

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Table E Complete if the premises are on Strategic Port Land under the Transport infrastructure Act 1994
Lot on plan description for strategic port land Port Authority for the lot
1

Table F Complete if the premises are in tidal water

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3. Indicate the total area of the premises on which the development is proposed: (Noite: The total area may include land both above and below water)

 

Name of water body, watercourse or aquifer (if known)

 

 

 

 

 

 

Name of local goverment for the tidal area (f applicable} Name of port authority for the tidal. area. (if appficable)

 

 

 

 

 

 

Total area of premises

 

21.60 (Lm Bd hectares (Tick applicable unit)

 

 

 

 

  

 

 

: mr ee ey

g use of the premises

Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment buiting, shop, Service station, school, sugar cane ne larming etc.)

 

 

| 1 | Mostly vacant land, Child Care Centre to be removed. |

 

5, Are there any existing easements on the premises? (e.g. for vehicutar access, electricity, overland flow, water etc.)7

O No a] Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application

 

Proposal deta ails peste eae -—ermemem <a ee =

 

6. Brief description of the ‘proposal fe g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

 

 

Advertising signage for proposed development comprising 4 Free Standing Pylon Signs.

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?

O No X Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

  

‘Resource entitlement fifa

 

 

 

 

jcable) Tiurther in information is provided in inthe advice section vat the: end of | the form . “a —— 7

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource e entitlement? (e.g. the application
invotves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

C No - Goto ag CO Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation of entitlement must be submitted with the application. You do not need to answer Q9 - go to the next Section.
ono om : . ey |

Owner's’¢ $ ; consent "ts ‘applicable) - further information is 5 provided i in the he advice 2 section a the end oft the form

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide detaits for each owner on a separate row, or on an attachment to this form if applicable.

 

 

Table H Premises Owner's name/s Details of the premises owned
and postal address (street address or fot on plan description)

Date consent

rs Sis * .
Owners signature’ was obtained

 

 

 

 

 

 

 

 

* Owner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, 127 of the Corparations Act 2007 (Cwealth) details how a
company may sign as owner, Templates for the provision of owner's consent are available on the IPA website .

Attachments and supporting information (Complete Table! - Use a separate row for each type of attachment or information, including information required

‘under this Part) Please ensure all documentation submitted wilh this form, including other Parts of Form 1, of owner's consent, etc, are securely attached to this Part oft the Form.

 

 

Description of attachment or information

Title (if applicable} Method of delivery to

 

Table | | (eg. P an © of Form 1 ne ses dani pow) | (e.g, General ther. ames Sireet Trafic Repo) Date assessment manager
1 Part D - Operational Work 25-Sep-2008 | over the counter

 

 

 

 

 

 

2 Letter and Development Assessment Report 25-Sep-2008 | over the counter