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07/1541 - MCU - Detached House [As Published] · 132007.1541
INTEGRATED PLANNING ACT 1997
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Part A, Version 2.4, 28 May 2006
Land owner's consent (i'éppficabie) 20. Land owner's consent to the making of this application: ,
Section 3.2:1(3} of the IPA prescribes that
seri 32 1G) aha or be supported ra the Name Date
‘written consent of the land owners, If the application
Involves: (i) Piercy Investments Ply Ltd (3/07 fo
o a material change of use; nec ccceeeecerceececccccccceneenccee el WS, fo)
(reconfiguration of a lot;
(i) work oa tand below high-water mark & not within a (i)
canal as dained under tha Coustal Protection and) =f eee
Management Act 1955;0r se
(jv) work on rail corridor tand defined under the (iti)
Transport indrastructure Act #994 fb ee ceeeee
Sectign 3.8.1(2}(2) af the IPA provides that
landowners consent (s pat required for a mobile or (Wy)
temporary ERA . TP nett ee enna nen eenenan teen enwen ener n anna be cecnnanneewe
For more Iniormafian refer to Guide 1, (v)
Resource-éntitlément (f-gpplicable) ' 21. Does this application involve a State resource prescribed under a regutalion (other than involving
sone wantbe chen evidence a at quarry material an State coastal land under the Coastal Protection and Management Act 1995)?
Involve a prescribed State resource, EXT NO -gotoa24 - CA YES - goto azz
STO ect cmnae |22. This application is accompanied by evidence: (ick applicable box)
it ere ie esas rata Cy ofthe allocation of, or entitlement to, the resource - attach evidence end go lo Q23(v)
Advice for completing 921 & 22
Refer to schedule 10 of the Integrated Planning E1 (ii) the chief executive of the department administering the resource is satisfied the
Regulation 1998 that prescribes the nature of avidence|
required by tha State in éupport of the lodging of this
development application.
Advice for compteting G23
development Is consistent with an allocation of, or entitlement to, the resource - go
to Q23
4
C1 (iti) the chief executive of the department administering the resource is satisfied the e
development application may proceed in the absence of an allocation of, of
entitlement to, the resource - go to. Q23
- 23. Evidence of the resource entitlement:
The fnamaton (We mantsioy Wevidence's | i) Resource entitiement / authority details _ (vil) Official stamp of the department
The official stamp of the Department of Natural - administering the. resource (if
Resourets, Mines and Water Is mandatory where the 7 — —— a sepia). :
apiplicalon Involves any water or riverine quay.” (i) Name of — Officer...
matertal under the Water Act 2000, -
Section 3,2.1{5A) alows the resource manager to lit - - :
the time the evidence may be used, 28 fv ust Neltinn of dele A .
* complated If the evidence ts time limited: ~ aos — Sain ~
(v) pe of _ officer
(vy) Date . _*
(vi) . Fa date’ of evidence fete e
Assessmenttriggers” 24; Is the IDAS Assessment Checklist completed and attached to this application?
Ths chest ost in apaion eis . YES. oo -EJNO- the assessment manager may refuse fo accept this application an the
mustbe cong fr ane pole wg one sal . _ . __ Srounds that the application has nol been properly made
“Plans | drawings'/reports 25. Pians/drawingsireports a accompanying this application:
Aa tonal ps 8 the nied by dela . Plan / Drawing / Report Number Title Date
referral agencies viewing
the aotoncatan pest ox publ = PHARO1_04 BASEMENT LEVEL 29/06/07
: notification to understand the scope of the proposal
and any potential impact. .
“4
0)
“W) PHARO2_01 NORTHSOUTH ELEVATIONS | 29/06/07
PLEASE NOTE: The assessment manager may,refuse to accept an application that; at the time af lodgement, falls to provide all applicable information required by Part’A
and any other relevant part of Form 4.
OFFICE USE ONLY (applicable fo assessment manager's)
GATE RECEIVING OFFICER'S REFERENCE
| FEE 68e receven | 7/8]07) _NAMEIS PS Sma wumpens [O77 | (ste |
Notification of Engagement of Private Certifier (Optional format}
Council. | have been engaged as the private certifier for the building work referred to in this application.
| To.
Oateofengagement / /
Accreditation Number.
— Name: Signature:
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