07/0463 - Op Works - Addition to Existing Single House [As Published] · 172007.463

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INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2008

 

 

 

 

 

 

 

 

 

Land owner's consent (if applicable) 20. Land owner's consent to the making of this application:
Section 3.2.1(3) of the IPA prescribes that
application tenn onbe supparted oy. the Name Signatury Date
‘itten consent of the land owner/s, if the application
involves: i} MARK LOVERIDGE . -
@) a material change of use; o veseeeesecereeeceseteneececeee eed | é Lei awnitfe a 4-3-7
reconfiguration of a lat; 7 °
(3) work on land below high-water mark & not within a (ii) 4
canal as defined under the Coastal Protection and| [nite necn ene cecechecececceeececececcecceesceeeeereacbecececeeeeee-
Management Act 19950 _
(4 work on rail corridor land defined under the {iii)
Transport infasiuctua Act 1994, pee eee eee eben eee ce ene eee eee enn eee cnc aber eee snenennal
Section 3,8.1(2a) of the IPA provides that
landowner's consent is not required for a mobile or ()
fempormmvERA. fl rvre rere reer ereeecratescsesessarcseseapescaeasascarcscrececcorccscsccccacbonacssecersee|
For more information refer to Guige 1, )
Resource entitlement {if applicable) 21. Does this application involve a State resource prescribed under a regulation (other than invoving
Section 32.16) of bro peli aeeseried a : quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
TeSOUrce len fications
invoNe a preserbed Stale resource, BX] NO - goto a24 (11 YES - go to. q22
See ON ee oe pet = hela" | 22. This application is accompanied by evidence: (tek applicable box)
vent eines of the resource entidement. [1 (i) ofthe allocation of, or entitlement to, the resource - attach evidence and go to Q23{v)
Refer fo schedule 10 of tha /nfograted Ptanning (fii) the chief executive of the department administering the resource Is satisfied the

Regulation 1998 that prescribes the nature of evidence
required by the State in support of the lodging of this
development application.

development is consistent with an allocation of, or entitlement to, the resource - go
to Q23

(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 comptetina 023 428, Evidence of the resource entitlement.
Oe a a armen eer | (1) Resource entitlement / authority details (wiyorica stamp of the department
‘The official stamp of the Department of Natural ministering the resource (if
Resources, Mines and Water is mandatory where the applicable)
application involves any water of riverine quarry (ii) Name of delegated officer
tmatarial under the Water Act 2000, o_o
Section 3.2.1 (5A) allows the resource manages to imit
the time the evidence may be used. C23 (vi) must be fi i
compel te anne ine nied (il) Position of delegated officer
{iv) Signature of delegated officer
{v) Date
a) pe date of evidence we
Assessment tiggers 24, ts the IDAS Assessment Checklist completed and attached to this application?

 

foomnband Poe hy Berne fom san ~ YES (71 NO - the assessment manager may refuse to accept this application on the
must be completed for all ather applications. grounds thet the application has not been properly made
Plans | drawings / reports 25. Plans/drawings/reports accompanying this application:

An apptication should be accompanied by details to
‘support the propasat & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
notification to understand the scope of the proposal
and any potentiat impact.

 

 

Plan f Drawing / Report Number
{i) REFER TO ATTACHMENT

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of jodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (applicable to assessment manager's)

 

 

 

1 DATE RECEIVING OFFICER'S REFERENCE
feo ONS [ RECEIVED Lod 3(-7 | Meo ers by Sno; | namene Lo7/yuR |
Notification of Engagement of Private Certifler optional tormet_) .
To, Council. | have been engaged as the private certifier for the building work referred to in this application.

Date ofengagement {

 

Accreditation Number.

_— Name:

Signature: