07/0364 - MCU - Entertainment & Dining Business Type 1 - Restaurant [As Published] · 132007.364

INTEGRATED PLANNING ACT 1997

Land owner’s consent (if applicable)

Section 3.2.1(3) of the IPA prescribes that an
application must contain, or be supported by, the
writen consent of the land owner/s, if the appiication
involves:

{i} amaterial change of use;

(i) reconfiguration of a lot;

{if} work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995;0r

(re) work on rail corridor land defined under the
Transport Infrastructure Act 1994,

Section 3.8.1(2)(a) of the IPA provides that

landowner’s consent is Rot required for a mobile or

temporary ERA .

For more information refer to Guide 1,

20.

Part A, Version 2.4, 29 May 2006
Land owner's consent to the making of this application:

 

 

Name Signature Date
(i) La Duc Pty Ltd ABN: Feb 2007
(ii ACN:
(iii) Directors: .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Resource entitlement (if applicable) 21. Does this application involve a State resource prescribed under a regulation (other than involving
Section 32.46) of be IPA requires ore ot quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
resource entittement ven ns
involve a prescribed Stas wescuroe. NO - go to Q24 (YES - goto. a22
Section 3,2.1(10)(a(i) of the IPA prescribes that . een . :
anpicaion camnctte ken to ve propery aie | 22. This application is accompanied by evidence: (tick applicable box) .
wont evidence oie rescues enment C1 (i) of the allocation of, or entitlement to, the resource — attach evidence and go to Q23(vi)

my re . a ve . . .
Refer to schedule 10 of the Integrated Planning C1 (ii) the chief executive of the department administering the resource is satisfied the
Regulation 1998 that prescribes the nature of evidence i i i i i -
recited bythe Stale meuppot ofthe edging of tis development is consistent with an allocation of, or entitlement to, the resource - go
development application. . . . | .

LD (ii) the chief executive of the department administering the resource is satisfied the
development application may proceed in the absence of an allocation of, or
entitlement to, the resource — go to Q23

Advic n 23. Evidence of the resource entitlement:
The information in (i) - (v) is mandatory if evidence is n .y A 4 i 7
required under 2 (i) ori] above, (i) Resource entitlement / authority details (vii) Official stamp of the department
The official stamp of the Department of Natural administering the resource (if
Resources, Mines and Water is mandatory where the _ applicable)
application involves any water or riverine quarry (ii) Name of delegated officer
material under the Water Act 2000.
bsp 32.(64) allows the resource managet to iit
@ time the evidence may be used. {vi) must rh it
complsed te evidence i tive tinted. (iii) Position of — officer

(iv) Signature of delegated officer

(vy) Date

(vi) pest date of evidence t —

Assessment triggers 24. Is the IDAS Assessment Checklist completed and attached to this application?
hecompeterotboe aedteromeme &] Yes [1 NO - the assessment manager may refuse to accept this application on the
must be completed for all other applications. grounds that the application has not been properly made

Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:

An application should be accompanied by details to
support the proposal & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
notification to understand the scope of the proposal
and any potential impact.

 

 

Plan / Drawing / Report Number Title Date

 

Proposal Document (including
proposal plans)

00720 LO02 HB

(i)

Feb 2007

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (applicable to assessment manager's)

FEE ($) DATE

RECEIVED

REFERENCE

[ RECEIVING OFFICER'S
NUMBERIS

NAME/S

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