09/0363 - MCU - Multiple Housing Type 2 - Duplex [As Published] · 132009.363

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete i if the premises are adjacent to or associated with a water body, watercourse or aquifer fe g. river, creek, lake, canal)

 

   

Nam of water body, watercourse or aquifer: (if known)

 

 

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Table E Complete if the premises are on Strategic Port Land under the Transport Infrastructure Act 1994
*~ Lot on plan description for strategic.port land 23. Port Authority for the lot?" 3s
iG

Table F Complete if the premises are in tidal water

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3. Indicate the total area of the premises on which the development is proposed: (Note: The total area may include land both above and below water)

 

 

 

 

 

 

Name of locaf government for the tidal area applicable) ; Name of port authority'for.the tidal area (if applicable) ,

 

 

 

 

 

 

 

 

 

 

 

 

 

eT ©. Total area of. premises. “ee
506.00 {J m? [_] hectares (Tick applicable unit)
[Existing use of the premises * PE : pet ge fe bs lt a |

 

4. — Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

 

| 1 | vacant

 

5. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overtand flow, water etc.)?

& No oO Yes - Ensure the type, location and dimensions of each easement are included in plans, submitted with the application
[Proposal‘details” ss oo aren
6. Brief description of the proposal (e.g. 6 unit apartment building, 30 lot residential subdivision, a bore, aquaculture)

   

 

Type 2 duplex

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
(J No Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application
(Resource entitlement (if applicable) °- further information Is provided in the advice section at the end of the form , . * ]

8. Ooes the application involve taking or interfering with a State resource and therefore require a resource entitlement? (e.g. the application
Involves State land (leased and freehold), dectared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

xX No - Goto Q9 O Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
allocation or entitlement must be submitted with the application. You do not need to answer Q9 - go to the next section.

(Owner's consent (if applicable) ; -. further information is provided in the advice section:at the.end af the form «.. ee

9. Complete Table H for applications involving a material change of use; reconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work on rail corridor land defined under the
Transport Infrastructure Act 1994 - provide details for each owner on a separate row, or on an attachment to this form if applicable.

 

  

 

 

Details of the premises owned:

i ” Dateconsent?
(street address oF lot on plan destrgtion)

«|, (was: obtained }

   

 

Table H

 

 

 

 

 

 

 

 

 

* Qwner's signature cannot be provided on the form if you intend to submit the application electronically. Owner's consent must be provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Comorations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are avaitable on the |PA website .

ble t= Use a ‘sepa TOW | for each type of. attachment or information is dnéluding information require

cluding other Parts “of Form 1, or owner's consent, etc, are securely attached to this Part of the Form:

 

 

  
 
 
    

     
 
  

Attachments and sup jorting information.(Compieté 73
lunder this Parl) Please ensure all documentation submited with this for

 

(applicable)

Table | uthority, James Strat

 

ssessment manager

allocation/entitement, plans, ‘drawings, reports)"
Part D

  

 

 

 

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