3207letter+Forms+CD verification

CI

 

ie. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)

 

1 | Houses

 

 

 

 

7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

 

Realignment of boundaries

 

 

8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)

 

 

C] No
DX 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 = John Glennon and Julie Carmel Glennon

 

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

 

 

a

Signature of owner/s of the land x 1 Gheurenr q it
Z

Date 20 Wane! XO |\ ay SJ

Table E

 

 

 

 

 

 

Name of owner/s of the land = [The Glennon Company Pty Ltd ATF the Glennon Family Trust

 

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

 

 

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

 

 

No [Yes - complete table G

 

[10. Identify if any of the following apply to the premises (tick applicable box/es)

[adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
{] _ on strategic port land under the Transport infrastructure Act 1994 - complete table |
& ina tidal water area - complete table J

 

  

  

18 December 2009