Development Application part 1 of 2 · OPW12/0222

  ,
      .




   ODD
Table E

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




Table F


Name of owner/s of the land                hhe..e:odyCotp~~ No-oSOt tOhe.rCTS ’:2b5’00
~~y       making this application, I, the applicant, declare that Ihe owner has given written consentto the making of the
       cation.




9. Does the application involve.a state resource’? (e.g.the appli            tion involves state land,,Or taking quarry materials.
Refer to the notes at the end of this form for more information)                       ~

                                                                        r~   r:r’:’~       ~   _N.a,,-f!’.’1i.~:.::,.p,~




~       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
evidence to this form)
                                                  D        Evidence of an allocation of, or an entitlement to, the res                                                        urce




                                                           Evidence the chief executive of the department administering the
                                                  D
                                                           resource is satisfied the                 development is consistent with an allocation
                                                           of, or an entitlement to, the resource


                                                  D        Evidence the chief executive of the department administering the
                                                           resource is satisfied the                 development application may proceed in the
                                                           absence ofan allocation of, or an entitlement to, the resource


                                                                                                                                     ~          ill

      Identify if any of the following applyoto the premises (tick~applicable box/es)
                                                                                                                                         gj
10.                                                                                                                 .




                                                                                                                           ;::~~t.! i~~! ~’’t.~ ~~1L::   "I’:;   iIi,";’I.,



D adjacent to water body, watercourse
                      a                          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 detai/s-/DAS form 1
                                                                                                                             Version 1.0 18December 2009