09/1474 - Preliminary Building Works [As Published] · 172009.1474

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1,3 March 2008
Table D Complete it the premises are adjacent to or associated | with a water body, watercourse or aquifer (e.g. river, creek | fake, canal)

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Table E Compl

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506.00 [X]m? (hectares (Tick applicable unit)

 

 

 

 

 

e 4. Current “tusels ¢ of the pi premises: “(0g vacant land, house, townhouses, apartment building shop, service station, school, sugar cane fering etc.)

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5. Are there any ‘existing easements on the premises? (e.g. for vehicular access, electricity,

 

| residence _

   

 

overland flow, water etc.)?

x No O Yes - Ensure the type, location and dimensions of each easement are included in plans submitted with the eapplication

 

 

carport

 

 

 

7. Does the poposal include new buitdings or operational work (including any services) on the premises?
(No EX] Yes - Ensure the nature, location and dimensions of the proposed works are included in plans, submitted with the application

 

 

8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (2.9. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, faking or interfering with water under the Water Act 2000, etc.)

6 XK No -Go fo Q9 Oo 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 QQ - go to the next section.

  

' (Otmiers, consent (renn

fianplicable) =f iter imformation is provided: i the u ae
9. Complete Table H for applications involving a material change of use, reconfi ‘guration of alot; 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.

 

 

 

Table H

 

 

 

 

 

 

 

 

 

 

* Owner'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 Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the [PA website .

 

 

 

 

 

Parts A, B &1, Architectural di drawings