MCU10/2116 & REC10/2072 Development Application part 1 covering letter, IDAS forms 1, 5 and 7 5 Opal Street Cooroy

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


q No
® 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 owner/s of the land        Cooroy RSL Services & Citizens Memorial Club Inc

I/We, the above-mentioned owner/s of e I          , consent to the making of this application.


Signature of owner/s of the land
                                                                    q""' ^44

Date                                                      C) i

Table E


Name of owner/s of the land

q The owners written consent is attached or will be provided separately to the assessment manager

Table F


Name of owner/s of the land
                                   F
  By making this application, I, the applicant, declare that the owner has given written consent to the making of
q 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)


® No                            q Yes - complete table G


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

1-1    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

1-1    in a tidal water area - complete table J

11. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
    water, etc.)

q No 0 Yes - ensure the type, location and dimension of each easement is included in the plans submitted