07/0616 - MCU - Multiple Houseing Type 2 Duplex [As Published] · 132007.616

INTEGRATED PLANNING ACT 1997

Land owner's consent (if applicable)
Section 3.2.1(3) of the IPA prescribes that an

20.

Part A, Version 2.4, 29 May 2006
Land owner's consent fo the making of this application:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

application must contain, or be supported by, the Name Sig nature Date
written consent of the land owner/s, if the application ,
involves: (i) see attached
(Q) amateridchangeofuse, fee eee eel eee eee ee ce eee ee beeen eee
(@ reconfiguration of a lot; -
(fi) work on land below high-water mark & not within a (ii)

canal as defined under the Coastal Profectionand}| | eee eb eee ee ee ee ee eee eee ee bee eee eee

Management Act 1995,0r 7
(iv) work on rail corridor land defined under the (iii)

Transport infrastructure Act1994.0 fee eee eee eee eb ee eee nen ee nn ene ee eee eee eee eee beeen cee eeeeee
Section 3.8.1(2}(a) of the IPA provides that a
landowners consent is nof required for a mobile or (iv)
temporayERA. | nnn ene en ee ene c ee eee ee eee eect ec eb ee eee ce cece een nee ee eee ee cree ee beet ee teen eee
For more information refer to Guide 1. (v)
Resource entitlement (if appficable) 21. Does this application involve a State resource prescribed under a regulation (other than involving
Section 3.2.1(5) of the IPA requires evidence of quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
Tesource entitlement be given for applications that
involve a prescribed State resource. EX NO - go to 24 [J YES - go to. 022
Section 3.2.1(10)(a}{i) of the IPA prescribes that . ar . .
Seater canna tether tateeanatr nas” |22. This application is accompanied by evidence: tick applicable box)
vito iene me reseure enitement C1 (i) of the allocation of, or entitlement to, the resource - attach evidence and go to 023(vi)

ir COmy in poss . a oo . . a
Refer to schedule 10 of the Integrated Planning C1 (ii) the chief executive of the department administering the resource is satisfied the
Regulation 1998 that prescribes the nature of evidence i i: i | iT i _
raid “1 be ssi sappatof the bdsing of is development is consistent with an allocation of, or entitlement to, the resource ~ go
levelopment apy in.

1 (ili) the chief executive of the department administering the resource is salisfied the
development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23

Advice for completing Q23 23. Evidence of the resource entitlement:

ena oo a “ene” ifevidence is (i) Resource entitlement / authority details (vil) Official stamp of the department
The offcia! stamp ofthe Department of Natural administering the resource (if
Resources, Mines and Water is mandatory where the . applicable)

application involves any water of riverine quarry (ii) Name of delegated officer

material under the Water Act 2000.

Section 3.2.1(5A) allows the resource manager to limit

the time the evidence may be used. Q23 (vi) must be ‘ii it

completed fs evdlonce i tne nied (iii) Position of — officer

(iv) Signature of delegated officer

(vy) Date

(vi) pe date of evidence —

Assessment triggers 24, Is the IDAS Assessment Checklist completed and attached to this application?

This checklist does not apply if the application requires
the completion of Parts A and 8 of the Form onty. It
Must be completed for all other applications,

& YES

| NO - the assessment manager may refuse to accept this application on the
grounds that the application has not been properly made

 

 

Plans / drawings / reports

An application should be accompanied by details to
support the proposal & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
notification to understand the scope of the proposal
and any potential impact.

 

25.

Plans/drawings/reports accompanying this application:

 

 

Plan / Drawing / Report Number Title Date
. Proposal Report (including March
(i) 00764 RO1A Proposal Plans) 2007

  

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (appiicabie to assessment manager's)

FEE (S) [ DATE

2510

RECENED

| thy leo7 | RECENING OFFICER'S | O» Queen

REFERENCE

NUMBERS [C7 | Loy key