Development Application Part 1 of 1 · OPW12/0385

   ODD
Table E

Name of ownerls of the land
                                           I~
D The owner’s written consent is attached        or will be   provided separately to the assessment manager




Table F

Name of ownerls of the land


      By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application.


9. Does the application involve a state resource? (e.g.the application involves state land, or taking quarry materials.
Refer to the notes at the end of this form for more information)


        NO                           D Yes-complete table G

Table G-state owned resources (provide details for each state resource in a separate table)

Nature of state-owned resource




Nature of evidence required (tick the

applicable box and attach a copy of the
evidence to this form)
                                                  D        Evidence of an allocation of, or an entitlement to, the resource




                                                           Evidence the chief executive of the department administering the
                                                  D
                                                           resource is satisfied the   development is consistent with an allocation
                                                           of, or an entitlement to, the resource


                                                  D        Evidence the chief executive of the department administering the
                                                           resource is satisfied the   development application may proceed in the
                                                           absence of an allocation of, or an entitlement to, the resource



10.   Identify if any of the following apply to the premises (tick applicable boxles)


D adjacent to water body, watercourse
                     a                           or   aquifer (e.g.creek, river, lake, canal)-complete table H

D       on   strategic port land under the Transport Infrastructure Act 1994-complete table 1

D       in a tidal water area-complete table J




Table H         Name of water body, watercourse or aquifer




                 4                                                                             Application details-/OAS form 1
                                                                                                 Version 1.0 18December 2009