07/1446 - MCU - Multiple Housing Type 2 Duplex [As Published] · 132007.1446

a

~ “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 to the making of this application:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

apptication must contain, or be supported by, the Name Signatu re Date
written consent of the land owners, if the application Acni
involves: (i) Res Bella PtyLtd ao 262 28
‘) amatenalchangeofuse; ft eld
{li) reconfiguration of a tot;
(iii) work on land below high-water mark & not within a (ii)
canal as defined under the Coastal Protectionand | | eee eee eee
Management Act 1995,0r
iv) work on rail corridor land defined under the (iii)
Transport Infrastructure Act 1994. pT
Section 3.8.4(2}(a} of the 1PA provides that 1
landowner's consent is not required for a mobile or {iv)
temporarvERA, ff a ene e eee eee eee eee eee eee ened
For mare information refer to Guide 1 (y)
Resource entitlement (if applicable) 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. Xl NO - go to 24 O YES - goto Q22
Section 3.2.1{10}{a)(ii} of the IPA prescribes that an + ee + . se .
application ae len to be property made 22. This application is accompanied by evidence: (tick applicable box)
without evidence “ the resource entiterent C1 (i): of the allocation of, or entitlement to, the resource - attach evidence and go fo 023(v)
my g9O21822 . ree : . 4. nos *, * .
Refer to schedule 10 of the integrated Planning (CO (ii) the chief executive of the department administering the resource is satisfied the
ray {S98 nat Hea ihe dein evidence development is consistent with an allocation of, or entitlement to, the resource - go
i fo Q23
development application.

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

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

The information in (i) - (v) is mandatory if evidence i . . . . . ji ‘

eee thee mes (i) Resource entitlement / authority details (vii) Official stamp of the department
The official stamp of the Department of Natural administering the resource (if
Resources, Mines and Water is mandatory where the . : applicable)

application involves any water or riverine quamy (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 tii iti

completed if the evidence is time fimited, (il) Position of delegated officer

{iv) Signature of delegated officer

(v) Date

{vi) _ date of evidence eiet

Asséssment triggers 24. !s the DAS Assessment Checklist completed and attached to this application?

This checklist d it the applicati ji is applicati

the completion ire at only Bafl he Fam ony it &] Yes (JNO - the assessment manager may refuse to accept this application on the
must be completed for all other applications. grounds that the application has not been properly made

Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:

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

 

 

Title

Plan / Drawing / Report Number
00792-1-A

Date
July 2007

 

(i) Proposal Report

 

 

 

 

 

 

 

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 (appticable to assessment manager's)

 

 

 

| DATE ] RECEIVING OFFICER'S C REFERENCE
| FEE) 290 L recenen |! 4} afe7 NAMEIS a Aree. | NUMBERIS | oT | Lipp |
Notification of Engagement of Private Certifier (Optional formé)”
To, Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

Date ofengagement / /

Accreditation Number:

Name: Signature: