07/0967 - MCU - Detached House [As Published] · 132007.967

3@-MAY-e@8? 16:16 FROM:PAUL CLOUT DESIGN 8754485399

TO:34471862 P:3

 

 

 

 

 

 

   

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

INTEGRATED PLANNING ACT 1597 . nek a Part A. Version 2.4, 29 May 2006
Land owner’s consent {if appicablyy 20. Land owner's consent to the making af this application:
Section 3.2.1(3) of me PA pesomes Walz — wars Det
apptctton crust contain, or be suppor by, he oo Name - , __ Signature Date
‘erilten consent of the fand owner‘s, ¥ he application . 7 a
Invoives; 1 -C-
(@) amszeril change ot use; Pas co” cece FO LEM . ETS
(reconfiguration of a int;
i8), Work on lind below hi ater mark & not with (i) ei *;
0 os dotned once te Cate Polo and & ) Eevaey Cr0F T . £6 blr veceeceeece ar 2)
Menagement Act 190550
Ih) uri on ral corridor fand doined under the
Tranapon infrastructure Act 15594. a wees ---
Section 3.1 1(7){9} of the IPA provides that 7
terndrener's consent Is aot required for 3 mablie or (v)
tem ERA, ane te eer eee eee ce cece ee cee cence nebo eee cece cunee cee cece cecenneece}ee - wee
For more Wifurrnation rotur to Guide 4. ()
Resource ontitiament (taypfeabh) 21. Does thie application involve a State resource prescribed under a regulation (athor han avetving
Section 3.2.1(5) ofthe (PA requires evidence ot quarry materiel on Stato coastal land under the Coastal Protection ond Managermant Act 1995)?
titel ‘ba given for ons Oat
vole a pesennen sa oe ane be LINO - goto. a24 [2 YES - go to azz
Section 3.2. po IPA prescribes that ; .
aleton anit te ken me propery mde 22. This application is accompanied by evidence: (ack appiicabie box)
without avience ot tie oes Sattement. (CO) ofthe al Ni of, of entitlement to, the resource - attach evidence and go in G23(vi)
Refer sched eo Te ed Panag (2) Gil) the chief executive of the department administering the resource is satisfied the
izton 1998 that prascribes the nature of evidance.
@ te Dy the Site in suapontof to keging or ie feveropment Is consistent with an allocation of, or entitlement to, the resource --go
lavelopment application,
C2 fii) the chief executive of the department administering the resource is satisfied the
development application roceed in of an allocation of, or
entitlement to, the resaurce - gc to 023
Advice (oLcomelctina Q2a antstoryeddenooig {22 TMidaNGA Of the resource entitlement:
mney Qzemertnatoe. | (Resource enfilement/ authorty details (vil) Offical stamp of the department
{ha official stamp of the Department of Natural administering the resource jit
Resoumes, Mines artd Waleris mandatory where the BE en a nee applicable)
apaiteton Involves any waver of Torin Quay {i) Name of delegated officer
fraterial ondor the Watur Acd 2009.
secton e A) allows the eh On ate ee
‘tima the evidence may he vse), O23 {vi} must i it
conse the evonce eid (ii) | Position of delegated officer 1
(iv) i of delegated officer |
(vy) Date
@ (vi) -_ date of evidence ita
Asseesment triggers - 24. Is the IDAS "Assessment Checklist completed and attached to this application?
5 3 Ks i
teconsemelPauAawauteromenr r'| — LJ YES CANO. the assossmant manager may refuse to accept this apafcation an the
must ba completed thy all other sppttcatorts. grountis thet the application has not been properly made
Plans! drawings {reporta 25. Plansidrawingshreports ‘agcompanying this application: i

An epptication shoud be agcompantad by details to
Support (to proposal A enable the assessment
manager, Tlemral Agencies thd ity porson viewing
‘fhe appfication during puke sctulny or public
noifcation to understand the scope of the proposal
and Any potential Impact -

 

 

 

 

 

Pian / Drawing / Report Number
ORAS CoA Beers |
(@ Tt nee nearest dawns ee newer e 5. cee ee eee eee en nnn ene
oc ccecaeeeeettecscencescensee{eseessevesessteessneccesceeeef ecco.
{iv)

 

 

 

 

 

PLEASE NOTE: The agsossmiont manager may refuse to avCopt on appliation that, at the tints at | ketgertent, fails lo provide all apiicable intonation toquirad by Part A
amd any Olter relevant part of Fon 4.

OFFICE USE ONLY (eppitcabio to assussmant manor}

rem 476° 00 |

DATE
RECEWVED
Ya. cee

{

"Date ot engagement ‘of

Aceyedilation Number _ ||.

199 4:07 | tues \Umenta Hesse |

i Notiication of Logagemont of Prigate Canigier ob edases heanade

REFERENCE |
NUMBERS j

somlas?

Council, [have been engaged as the private certihen tor the budding work roferiad to ia this application,

Name were . Signature: