07/1252 - MCU - Detached House [As Published] · 132007.1252

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INTEGRATED PLANNING ACT 1997
Land owner's consent (if applicable)

Section 3.2. 1{3) of the iPA prescribes that an
application must contain, or be supported dy, the
vritlen consent of the land owner/s, if the application
involves;

(} a material change of use;

(i} reconfiguration of a lot;

(ii) work on land below high-water mark & not within a
canal as defined under the Caasta/ Protection and
Management Act 7995;08

fv) work on sail corridos land defined under the
Transport infrastucture Act 19%.

Section 3.8.1(2)(a) of the IPA provides that
landowner’s consent is fofrequired for a mobile or
temporary ERA.

For more information refer to Guide 7.

20.

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

Name

 

Signature Date

 

 

es a ne ee a i

 

 

 

 

 

 

 

Resource entitlement (if applicable}

Section 3.2. 1(5) of the IPA requires evidence of
resource entivement be given for applications that
involve a prescribed State resource.

Section 3.2.1(10){a}(i) of the IPA prescribes that an
application cannot be taken to be property made
without evidence of the resource emitlement

dvice for comoteting G21 & 22
Refer to schedule 10 of the /ntegrated Planning
Regulation 1998that prescribes the nature of evidence
required by the State in support of the lodging of this
development apptication.

Advice for completing Q23

The information in {i) - (v) is mandatory if evidence is
required under Q22 (ii) or (ill) above.

The officiat stamp of the Department of Natural
Resources, Mines and Water is mandatory where the
application involves any water or riverine quarry
materlai under the Water Act 2000.

Section 3.2.1{5A) allows the resource manager to IImit
the time the evidence may be used, 23 (vi) must be
completed if the evidence is time limited.

21.

23.

Does this application involve a State resource prescribed under a regulation (other than involving
quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
Wale

- goto Q24 [] YES - goto Q22

. This application is accompanied by evidence: (tick applicable box)

[} (i) of the allocation of, or entitlement to, the resource - attach evidence and go ta Q23{vi)

[_} {ii) the chief executive of the department administering the resource is satisfied the
development is consistent with an allocation of, or entitlement to, the resource ~ go
lo Q23

C} (iii) the chief executive of the department administering the resource is satisfied the
development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23

Evidence of the resource entit!ement:
(i) Resource entitlement / authority details (vii) Official stamp of the department

administering the resource (if
applicable)

 

 

 

(ii) Name of delegated officer

| _]

(iii) Position of delegated officer

 

(iv) Siqnature of delegated officer

 

 

 

 

(v) Date

 

 

 

 

a

(vi) Expiry date of evidence (if applicable)

 

 

 

Assessment triggers

Tris checklist dees et apply if the application requires
the completion of Parts A and B of the Form only. it
musi be completed for all ather applications.

24.

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

("| YES

C] 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
manages, referrat agencies and any person viewing
the application during public scrutiny of public
notification to understand the scope of the proposat
and any potential impact.

 

20.

Plans/drawings/reports accompanying this application:
Plan / Drawing / Report Number Title Date

 

 

eee eee we wee ewe eee eee eww we ewww ee ee eee wee eee Fe we

 

 

 

 

 

 

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 7.

 

OFFICE USE ONLY (appticable to assessment manager's}

“DATE
| FEE 8 625s | RECEIVED

 

 

 

26lolan er Ps Soe, mae lorfizs2

 

 

 

To

Notification of Engagement of Private Certifier (Opeanat format) v

al

 

Dale ofengagement. / /

Accreditation Number.

Council. | have heen engaged as the private certifier for the building work referred to in this apptication.

__. Name: Signature: