Development application part 1 of 2 MCU12 · MCU12/0012

Table E

Name of owner/s of the land

    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

    By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application.



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


                                          Yes-complete table G
                                   q


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 of an allocation of, or an entitlement to, the resource
                                               q
evidence to this form)


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


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


io. Identify if any of the following apply to the premises (tick applicable box/es)


      adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)-complete table H

      on strategic port land under the Transport Infrastructure Act 1994-complete table I

      in a tidal water area-complete table J



Table H        Name of water body, watercourse or aquifer




                                                                                       Apolicationn details-•/DASform i
                                                                                         Version r.o 18 Decemberzoo9