Development Application Part 1 of 2 IDAS Forms 1 & 5 & 6 MCU11/0168 & OPW11/0257

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       x                                      El'
                                       MAek
I/We, the above-mentioned owner/s of the land,       s       t to the making of this application.
                                                             1*0


Signature of owner/s of the Ian x
                                        ^O/

Date                              Ix                     -

Table E


Name of owner/s of the land

 q The owner's written consent is attached or will be provided separately to the assessment manager


Table F


Name of owner/s of the land

   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)

       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
       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.)

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