0015A4F2.001

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                INTEGRATED PLANNING ACT 1997                                                                                                      Part A, Version 2.4, 29 May 2006
                 Resource entitlement (if applicable)         21.   Does this application involve a State resource prescribed under a regulation (other than involving
                 Section 3.2.1(5) of the IPA requires evidence of   quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
                 resource entitlement be given for applications thal
                 involve a prescribed State resource.               X] NO - go to 24                            1] YES - go to Q22                                                       ,
                    jon 3.2.1{10)(a)(i) of the IPA prescribes that     .           oe,               .          .                                                  ;
                appa      wt te         kent be propery made  |22.  This application is accompanied by evidence: (tick applicable box)
                + without evidence of tha resource entitlement  ~   {7](i)_  of the allocation of, or entitlement to, the resource - attach evidence and go to Q23(vi)
                 Advice for completing Q21 & 22                          .          ;          .                              le    .                   .     .
                 Refer to schedute 10 of the Integrated Planning    [_] (ii) the chief executive of the department administering the resource is satisfied the
                 Regulation 1998 that prescribes the nature of evidence      development is consistent with an allocation of, or entitlement to, the resource — go
                 required by the State in support of the lodging of this     to 023           or                                                                                        “
                 development application,                                .          .          .                              _.    .                   .     .
                                                                    (1 (iii) 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 023
               Advice for completing Q23                      23.   Evidence of the resource entitlement:
                    information in (i) - (v}     if evidence i       .                   ;                  .        .                 ry      :
                 eed ton        tS ta epee emidence                 (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 of riverine quarry  (il)  Name of delegated officer
                 Section 3.2,1(5A) allows the resource manager to limit
                 the lime the evidence may ba used. Q23 (vi) must ba iii      iti
                 completed if the evidence is time limited.        (iil)  Position of delegated officer
                                                                   {iv)   P          of ~ officer
               .                                                    {v)   Date                                              .
                                                                    (vi)  _ date of evidence (if applicable)
                 Assessment triggers                          24.   Is the IDAS Assessment Checklist completed and attached to this application? -                                   -
  :             This checklist does not apply if the applicati i                                                                                           wos
                 : e completion a Pa apy Bat  romnoae ke            [XI YES                       (1 NO - the assessment manager may refuse to accept this application on the
                 must be completed for ail other applications.                                       .       grounds that the application has not been properly made
                 Plans / drawings / reports                _|25.    Plans/drawings/reports accompanying this application:
                support the proposa! & enable the assessment                Plan / Drawing / Report Number           |                Tite          |e
                An application should be accompanied by details to                      .                                                .
                 manager, referral agencies and any person viewing                                                           og
                the application during public scrutiny or public                                                        Application for Development
                natficaton to understand the scope of the proposal    (i)  | Planning Report 40487 prepared | Permit for Material Change of                     2007
                ane any Palen                                         by Murray & Associates (Qld) Pty Ltd           | Use (Cabin Park - Three
                                                                                                                        Cabins)
                                                      :                                                                 Plan of Proposed Material
       @                                                              {ii}   Plan of Proposal 40487 prepared | Change of Use in Lot 89 on                       98/06/2005
                                                                      by Murray & Associates (Qld) Pty Ltd              SP158854 Demonstrating -
                                                                                                                        Proposed Cabins
                                                                     (iti)                                .
.                                                                     (iv)
                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.                                          :              .                                                  '
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                OFFICE USE ONLY (applicable to assessment manager's)
                       °                              DATE                              RECEIVING OFFICER'S | &                             REFERENCE     |,
                 FEES),    2295                                      7{1129             Rees Af                      nd     pn          | Numpens: | 7/                   >      |
                                                            Notification of Engagement of Private Certifier (Opiional formal
      ‘          To                                                          Council, have Deen engaged as the private certifier for the building work referred to in this application. .
                 Date ofengagement      /    /    Accreditation Number.                    _.. Name:                                 Signature:                                           :