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Development Application Part 1 of 2 Covering Letter,Idas Forms 1 & 28 - OPW12/0590

of 21
8. Is owner’s consent required for this application? (refer to notes at the end of this form for
                                                                                                          more   information)

D No
[8J Yes complete either table D, table E or table F as applicable
          -




Table D (note:do not complete this table if lodging the application on-line using Smart
                                                                                                eDA)


Name of ownerls of the land
                                  ~aledge Pty       Ltd


I/We, the above-mentioned
                             owner~_1_e land,         consent to the making of this application.


                                  f
Signature of ownerls of the Ian
                                      hzM1L{L                         ...--   _1


                                      I
Date
                                  r            19\ /)_l~11
Table E



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

Table F



Name of ownerls of the land
                                  l
     By making thi.s application, I, the applicant, declare that the owner has given written consent to the making of
o 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)

DNa                            [8J Yes     -
                                               complete table G



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                                                                                                                    IDAS form 1
                                                                                                   Version 1.0 18 December 2009

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