Development Application part 2 of 3 IDAS Forms 1 & 5 MCU13/0168

5. Are there any current approvals (e.g.a preliminary approval) associated with this application? (Non-
mandatory requirement.)

~      No      0 Yes-provide details below

List of approval reference/s                         Date approved (dd/mm/yy)         Date approval lapses (dd/mm/yy)




6. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)


o      No

iiYes-complete        either Table G, Table H or Table I as applicable


Table G

Name of owner/s of the land

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

Signature of owner/s of the land


Date


Table H


                                                                                                                               J?




                                                                                     v,f);PI1t!-                               JtJ)?
                                                                                  written consent to the making of the




7. Does the application involve a state resource? (E.g.the application involves taking water or quarry material, or
interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
requirement.)

[9"No                    o     Not identified whether or    D    Yes-complete Table J
                               not the application
                               involves a State
                               resource




Table J

Nature of state-owned resource (if identified)




4                                                                                            IDAS form 1-Application details
                                                                                                  Version 2.031 March 2013