Development Application Part 1 of 1 · OPW12/0318

        DDD
Table E


 Name of owner/s of the land                                                                    ~
oThe
                  o~nt                                                                           is attached or will be provided separately to the assessment manager




Table F,                                                                                               ..
                                                                                                                                                             H,                                                                                                I.                    i

                                                                                                                     1
 Name ofowner/s of the
                                                                         la~                                         1

 D By          ~lication,I, the applicant, declare that the                                                                                                                                   owner has                 given written consent to the making of the
      m2g..t:tf
 app~tt                   n.




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                                                                                                        n:i!i’ ~i.; ’~’ ’\" it!"’ "’\!~’
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 ’Refert ,.1,1le 1?t~ at iH’~;~~ij,1,,?f t.h)s..for,!lff tm t~ in~~m~fio~) ~"" ,.’) "::;’~;:;" >ir’!’:.                                                                                                                                                                ".
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EJ 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                                                                                               0 Evidence of                                  an allocation of, or an entitlement to, the resource
                                                                                                                                                       J     I         -

                                                                                                                                                                                                                        ’._      "



    evidence to this form)                                                                                                                                                                                                                                                       J




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

                                                                                                                                                     of, or an entitlement to, the resource


                                                                                                                                          D          Evidence the chief executive of the department administering the
                                                                                                                                                     resourcels satisfied the development application may proceed in the

        .   ,_
                           ’.      "
                                             of
                                                                                                                                                     absence of an allocation of, or an entitlement to, the resource


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"19:Id ntity if ari of the"fbU Wi:hg appLylo the premises.(ft,
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                                                                 k a’pplkable boxf~s). !;                                                                                                                    .
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    D            adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete table H

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

    D            in a tidal water area-complete table J




Table H                           Name of water body, watercourse or aquifer




                                       4                                                                                                                                                                                                                 Application details-IDAS form 1
                                                                                                                                                                                                                                                               Version 1.0 18December 2009