Development Application - Part 1 of 1 · OPW12/0258

                                                                                                                                               t       .J




      DDD
 Table E


 Name of owner/s of the land
                                                      I
 oThe owner’s written consent is attached                  or will be   provided separately to the assessment manager




 Table F


 Name of owner/s of the land
                                                      I
 o By making this application, I, the applicant, declare that the                 owner has   given written consent to the making of the
 application.


 "’9. Doe~ the application involve"a state rgs"o rce? (e.g.the application involves state land, or taking quarry m’aterials.
  Refer to the notes at the end of this form for more information) 11J:
  ’
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                           T.: "                                                                   ,   ?’~
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  t{NO                                           o 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)
                                                             0 Evidence of        an allocation of, or an entitlement to, the resource




                                                             0 Evidence thesatisfied
                                                                             chief executive of the department administering the
                                                                    resource is           the development is consistent with an allocation

                                                                    of, or an entitlement to, the resource


                                                             0 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


      .~c                               .,




 ~l   .Identify if any of the following apply to the premises (ti~k applicable box/ s)


-0 adjacent to water body,a                  w    tercourse or aquifer (e.g:-creek, river, lake, canal)-complete table H


  o         on   strategic port land under the Transport /nfrastructureAct 1994-complete table I

  o in           a tidal water     area-complete table J



 Table H             Name of water body, watercourse or aquifer




                      4                                                                                      Applicat on deta ls-IDAS form 1
                                                                                                               Vers on 1.0 18 December 2009