Development Application - Part 1 of 2 - Application Forms · OPW12/0081

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     DDD
     6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)




              1.1 1   VACANT LAND




     7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


     PROPOSED EXTERNAL ROADWORKS


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



     IZI   No

     DYes 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             I
     I/We, the above-mentioned ownerls of the land, consent to the making of this application.


     Signature of ownerls of the      landl
     Date                                    I
     Table E



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

     Table F



     Name of ownerls of the land             I
            By making this 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)



     IZI No                                 DYes    -

                                                        complete table G


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



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




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




     o        in a tidal water area   -

                                          complete table J




                                                                                                  Application Details   -   IDAS form 1
                                                                                                    Version 1.018 December 2009