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07/1446 - MCU - Multiple Housing Type 2 Duplex [As Published] · 132007.1446
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27. Jul. 2007 14:55
INTEGRATED PLANNING ACT 1997
MARTOO CONSULTING
No. 0634 PF. 5
PartA, Version 2.4, 29 May 2008
Land owner’s consent (i applicable) 20. Land owner's consent to (he making of this application:
Section 3.2.1(9) of tha IPA presevibes thal an
application must contain, ct be suppited by, he Name Signature _ Date
wien Consent of che land ovnedis, it tha application . Res Bella Ply Ltd
invelvos: i es Bel ‘
{) amaloris! change of use; 9 caceeseees ta Ply neeeee és 1962 8 276 +07
(i) feconiguration of a lot wees
{work on land below high-watsr mate & notwihiaa | (ii)
cane) as defined under tho Coastal Protection and | | Ve nea e cee eee n enter eadener es cere cnceensvensecaceeccerecechoreces-neee--
Menagement Act 1995;0r : .
{iv) work on rail corridor tand defined under the (tli)
Transport intasiuctare Act 199%, ff veccdeccecceeesercee weccnecceeeeees voce ceeecccenee ed
Section 38,(2)(a) of tha IPA provides thal”
Jandowner's consent ia nof required fora moblta or (Iv)
demporavERA, Fb eee AP ede w wenn een ee Newer e ne deen amerw re nsawennn tena enna, deren dene eee --ee---|
For more tnforttration refer to Guide {, W)
Resource entitlement (applicable) 21, Does this application involve a State resource prescribed under a regulation (other than invoving
Sectlon 3.2.1(6) of ha IPA requires evidence of Guarty material on Stale coastal lend under the Coastal Protection and Management Act 1995)?
resources enlidament be glven for applications tht ZF
volvo a prascribed Stafe resourca. NO - go 0 024 {J YEs - go to G22
Section 9.2.1(10){a}{i) of the IPA, fibas (hel ‘ . ° .
‘pplication cameo wie bo pe prapary male 22. This application is accompanied by evidence: (tick apacable box)
' i i . " . .
without evidanca of the resource enivemant C1 (i) of the gliocation of, or entitlement lo, the resource - attach evidence and go to 23M)
Roles lo schedute 10 of lha fatagrated Planning C (ii) the chief executive of the department administaring the resource is satisfled lhe
Regytotion 1999 thal prescribes the natura of avktence
wl red yh 8 eat af the dig of Bs development s consistent with an allocation of, or enlitlement to, the resource - go
Jevetopment application,
O fii) the chief executive of the department administering the resource is satisfied the
developmen! application may proceed t absence of an allocation of, or
. enlitlement to, the resource - go fo 023
‘Audvlee for egmaleting 023 _ |23. Evidence of the résource entitement:;
ajmaraien nl ismanisyWeidenais |) ecource enlilement / authority details (vil) Official stamp of the department
Tha oficial stomp ofthe Dapartmeat of Neural administering the resource (ir
Resources, Mines and Water is mandalory wherd lhe be)
application Involves any water of riverine quarry (i) Name of delegated officer
a Ct
tein enten ay mane O1 wore.
f ¢ evidance may must
completeditti euderce one tne (iti) Position a officer
(iv) Signature of delegated officer
(v) Date
* (vi) pest date of evidence a
Avsascment triggers 24, Is tha IDAS Assessment Checklist completed and altached to this application?
ii hiaaner 20h ey Bae es YES (7) NO - the assessment manager may refuse to accept this epplication on the
Anal be complated for ell other eppicatona, grounds thal the application has nol been property mada
Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:
An application should ba accompanied by details to
suppor the propos! & anable lhe assessment
Mansgar, refertal agenctas and any person viewing
the application during public acrutiny oF public
notification to undésstand lhe scope of the proposal
and any potential impact
Plan / Drawing / Report Number
oO 00792 -1-A
Title
Proposal Report
Date
uly 2007
PLEASE NOTE: The assessment manager may refuse to accep! an appllcation that at the time of lodgemen|, fails to provide all applicable information required by Part A
and any other relevan| part of Form 1.
OFFICE USE ONLY (applicable to assassmont managers)
[ree i pea
RECEIVEO
RECENING OFFICERS |
REFERENCE |
_HAME/S L
NUMBERS | }
Notification of Engagement of Private Certifier (Optional somal)
To.
Oateofengagement: f 7
Accreditation Number.
Council. [have been engagad as the privale certifier for the building work referred lo in this application,
_— Name: Signalure:
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