07/1836 - MCU - Detached House [As Published] · 132007.1836

 

 

INTEGRATED PLANNING ACT 1897
Land owner's consent {if appicabia)

‘Section 3.2.1(3} of thre IPA prescribes that an
appilcation must contain, or ba supported by, the
‘wiltten consent of the land ownerts, 7 fre application
Involes:

() amateriai change at use;

i) reconfiguration of a tat;

(El) work on land betow high-water mark & not within a
Cara 2s defined under the Coastal Protection and
Management Act 1995:0°

‘Q¥) work on ra condor fand defined under the
Transport infrastuctie Act 1994.

Section 3.8,1(2Xa) of the IPA provides that

landowner’s consent Is of required for a mobite or

ERA.

For more information refer to Guide 4,

Part A, Version 2.3, 27 March 2006

bate |

20. Land owner's consent to the making of this application:

| Name Signature |

SEE AUTHORITY. .

 

Resource entitlement (if appicable)

Section 3,2.1(10}(b) of the IPA preserihes that an
‘pplication canto, be taken to be property made
without evidence of tha resource entitement.

Advices for completing Q22.

Refer to schedute 10 of the {integrated Planning
Requistion 1998 that prescribes the nature of evidence |
requited by tha Stata In support of the lodging of this.
development application.

‘Advice for compteting 023

The Information In (3} ~ {v) is mandatory if evidence Is
required under 022 (7) oF (8) above.

The official stamp of the Oepartment of Natural
Resourves and Mines is mandatory whevt the
appiication involves taking of Interfering with water or
tverine quarry material under the Wator Act 2000.

21. Does this application involve taking or interfering with (other than interfering with quarry matertal on State
coastal land under the Coastal Protection and Management Act 1995) a State resource?

[7] NO - goto a24 YES - go to Q22

22. This application is required by regulation to be accompanied by evidence: (tick appicabio box)
(ofthe allocation of, or entitlement to, the resource - attach evidence .
(ii) _ the chief executive of the department administering the resource is satisfied the
development i is consistent with an allocation of, or entitlement to, the resource ~ go
ii) the chief executive of the department administering the resource is satisfied the
development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23

23. Evidence of the resource entitlement:
(i) Resource entitlement / authority details

(iv) Official stamp of tha department
administering the resource ¢f
applicable}

 

) Date

 

Assessment tggers.

   
 

‘Sepicaton iequiets|
ihe completon of Parts A and B ofthe Form ont It
Musi be compieted for al other appfications.

 

 

24. Is the IDAS Assessment Checklist completed and attached to this application?

YES [INO - the assessment manager may refise fo accept this appliceion on the
grounds that the application has not been properly made

. Plans/drawings/reports accompanying this application:

 

 

i Plan / Drawing / Report Number [ Title L Date |
Plans * . 714303 Issue C 14-May-07
Auswide Geotech Soil Test AW16826B 19-Feb-07
Auswide Engineering 18566 12-Apr-07

 

 

PLEASE NOTE: The assessment manager may refusa jean pin that, at the me of lodgement, fails to provide all appficable information required by Part A
and any other relevant part of Form 1. " .

OFFICE USE ONLY (appicabie fo assassment manager's)

 

 

 

 

Date ofengagerent: 7 / — Acoreditation

 

 

Number.