07/0683 - Preliminary Building Approval [As Published] · 172007.683

INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006

-Land:owner's.consent (applicable) |:20: “Land-owner’s consen ‘to the making of this: application? eT 7E
Section 3.2° (3) of the ‘PA prescribes thatan © .
rapplication must contain, orbe: supported bythe ie Name Signature : Date

   

 

 

0 OR YAN _KAKANSSON,

“Management Act:1995:0r° i. wy
Ay: work on rail corridor land defined under the
: _ Transport. infrastructure Act . 19%, 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sthe completion Of Parts ‘A'and'8 of th
«must be completed: oral

     

 

 

 

 

‘an aplcton Sd osxi the assessment : Plan/ Drawing ! Report Number Title Date
manager, referral agencies and:any.person viewing in
he application during public scrutiny'or public =}, ! (i) SEE ATTACHED SCHEDULE

notification to understand the scope of the proposat
and any potential impact

 

 

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide att applicable information required by Part A
and any other relevant part of Form 4.

OFFICE USE ONLY (applicable to assessment manager's}

   

 

 

“REFERENCE: |
; NUMBERIS::”

Notification of Engagement of Private Certifier (Optional forme!)

To

Council. | have been engaged as the private certifier for the building work referred to in this application.

i Date ofengagement / /° Accreditation Number, ___ Name: Signature: