07/0924 - Op Works - Transport Type 5 - Domestic Marine [As Published] · 142007.924

’ 18-@5-2007 11:20 .

Ti 3Bodd

NOOSA DENTAL SURGERY @7 54743877

PAGE: 1
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INTEGRATED PLANNING ACT 1997
Land ovmer‘s covsent (/ anplicatne)

‘Seston 3.2.10 of he FPA presorbes halon
Sppicetion mst corte, or be exported by, ter
‘ertann coment of Op (ane) Ownen, 7 te eertiation

{) a meperistchenge of une:

(© recewhpenien of 306

‘Gort on tans below Big water inert & NOt wh) 3 |
ae ee ‘the Cocetal Protection enct

Menegerent Act
ci akon aca ttt ee
Transport tirestuchis Act

sects 3h ga ee Pa ronten al
fandonner's coneers io ul wexpirad tr 9 recttie of

 

 

 

 

 

 

 

 

 

ftemoormry ERA.

For mare Wormates sofa ty Guide 5,

Resource entieiemont  appkcoti) 21, Does this appfication involve a State resource prescribed under a reguiztion jother fen invoning
‘Sabon 12.109 of the IPA requires evidence query, 1on Stole coastal land under the Conga Protection and Momagamont Act 19969?

foo a pecebed Sart oonune ea rho. ewan CIYES-pomaz ;

pened fede lashed 2. This application is accompanied by evidence: (ho appiatie boy

ibonn ever of tho reanurce ereearaane L210) of the allocation of, or entilvement to, the resource: atach evitenes aod go fs O44)
fase schafen ce Fan For CO {i} the chiet executive of the department administering the resource Is satisfied the
recptred by ma Sito fh expen of the lodgy OF Oty an evelopment fe consistant with an allocation ci, or entitiement to, the resource - go
Coioprrant efcaton.

Adteiry ter comesietina Sond

The intormatin in {0 ~ {vp is mandeteny # exicence is
equred ender 022 (9 oF (TR ato,

The oficial sdaep of tbe Deparment of Nepal
Recoucet, Nine and Weey bs navisinry whese Oo
‘aggicaiion laches any water cr therne query
(taal enter ho Weiter Act ARO

‘Sector 22 WA) allows ie rponuce none tp Merit,
(he fore he eetionce way be wed 075 {Ht} mest be
compiuted ¥ the enddarsce & sirvan (ierctert_

Assessment triggers

‘This chacktst does sao arly € fhe spplication requires!
We cmpkemon of Parts A gad 8 oF ne Form gabe &
trant bo comeleted fox af other apcications,

Plans / draudngs / reports
An BER ACaION choi Be adconpanerd ey detele

 

(7 Gi) the chief executive of the department administering the resource ia satatied the
development application may proceed In the absence of en allocation of, or
entitlement fo, the resources - gow 023

23, Evidence of the resource entitlement:
() Resource entitlement / 2

@ fate seed oe
(@ fesinot ceed ti
@ a
Dae

LT
wi) [rae caine Aaa

bs Assessment Checidist completed and atlached to this appication?

INO - tre exnsesmnent oranoges may sche fo accept Pfs application on fre
grounds Brot Iho appicaton hes aot bean property made

25. Plans/drawings/reports accompanying tis application:

Pian] Orawing | Report Munbor

(vil) Oficial stamp of the department
adeninistering the resource ¢
sppicahley

cotati.

 

 

 

 

 

mM,
YES

 

Dvte

AOK\SI
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PLEASE NOTE: The assostment manager may rofiuca io aoodet an application thal, at fhe fee of lodgement, falts to provide all applicable information raquked by Part A
and any cer relevant pattet Form 1.

 

 

 

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OFFICE USE ONLY (apptcatia i assecsnen

O8bEPLS2 19

 
 

 

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