07/1531 - Operational Works - Landscaping Stage 1 [As Published]

INTEGRATED PLANNING ACT 1997

Land owner's consent (if sppicabis)

Sectlon 3.2.1(3) of the IPA presciibes thal an.
appleation must contain, or ba supported by, the
‘wntion consent of the land oaner/s, Ii the appiication
involvss:

()  amaterta change of use;

(reconfiguration of a lot

(H) work on land below high-water mark & not with'n a
canal as dedined under the Coastal Protection and
Management Act 1995.0

20.

Part A, Version 2.4, 29 May 2006
Land owner's consent to the making of this application:
Name

 

Signature Date

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

() work on ca condor land datined undar the iii)
Transpodt infrastructure Act 1994, weet eer eee eee sets ete certs bec ee ese tcc eteerreeeenteeeesessee[wecceeenaeeee
Secton 3.8.1{2}{a) of the {PA provides that
landouners consent ls nof required fora mobile or (wy)
temporeyERA. fa cea eect eee eter eect nee e eee ene nes focceerceeeenccsesteeesesceascavevefasrecsseseane
For mora Information refer to Guide 1, (v)
Resource entitlement (# appicabie) 21. Does this application involve a State resource prescribed under a regulation (other than invotving
Secton 2.46) of Map nnaniarion oa Quarry matertal on State coastal land under the Coastal Protection and Management Act 1995)?
Invelve a presctbed State resource, [INO - g0 to 024 DYES - got azz
Soctlon 3.2.1(10) escrtbes . . .
eter Aika fe n teat _— 22. This application is accompanled by evidence: (tick appfcable box}
we evidence ae —, enttlement. (1) ofthe allocation of, or entitlement to, the resource ~ ettech evidence and go to Q23(¥)
Rafer to schedule 10 of the dategrated Panning CA (i) the chief executive of the department administering the resource Is satisfied the
Roguiatlon 1998 that prescribes tha nature of evidence, ‘ i -
tated ye Sao hep cf along ee development Is consistent with an allocation of, or entitlement to, the resource - go
development appfcation.
17 (il) the chief executive of the department administering the resource fs satisfied the
development application may proceed In the absence of an allocation of, or
entitlement to, the resource - go to 023
Advice for compteting Q23 aatory i ednen 23. Evidence of the resource entitlement:
malaise ee eee" |G) Resource entitement/ authority details (vil) Official stamp of the department
Tro offcla stamp of the Department of Natural administering the resource (7
Resources, b'nes and Water ls mandatory where the ' appficable)
application Involves any water or fverine quarry (il) Name of delegated officer
tetine th dene my bm ved, CES uso
19 tine the evidence mi 5 fin |
conitetes tinea eae Tire ited {iii} Position of delegated officer
(iv) Signature of delegated officer
(v) Date
(vi) ee date of evidence a
Assosamant triggers 24. Is the IDAS Assessment Checklist completed and attached to this application?
he vamitanel eeA et betetan ene w Yes LINO - the essessment manager may refuse to accept this application on the
must be comptsted for al other applications. grounds that the application has not been property made
Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:
ea toel eaten shou be eecomarred by Gea o Plan Drawing / Report Number Title Date

manager, referral agencles and any person viewing
the epptieation during pubtc scrutiny or public
nalifcation to understand the scope of the proposal
and any potential impact,

 

 

 

0 1G6G120 - Lao) 3) |

L, LG, 1206-LAOLL8) Jiey

(1606, 206 - (408 (8) Planand Law / pe [ik
MLZCG 1106 - LAOUR PLAT 0 aw [Dang

Joby do

 

 

 

 

 

PLEASE NOTE: Tho assessment manager may refuse lo accept an application thal, al the time of lodgament, fats to provide all sppticabie information required by Perl A
and any other ralevant part of Form 1.

OFFICE USE ONLY (applicable to assessment manager's)

DATE

[ree ) RECEIVED

To

 

Date ofangagemen’ ¢ f

 

Accreditation Number:

[.

Notification of Engagement of Private Certifier (Optional format}

| RECewN OFFICER'S REFERENCE —
NAMES _. NUMBERS

Council. [ have been engaged as the private certifier for tho building work referred to in this application.

— Name. Signature: