Development Application IDAS Forms 1 & 6 - OPW12/0471

         DDD
 Table E

  Name ofowner/s of the land                                       I
  D 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                                      T
  D By making this application, I, the applicant, declare that the                                                   owner has        given written consent to the making of the
  application.

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                                                 ~..,     9


                                                                                                                                                                                 materials~.
  9~ Does:the application Involve a state resource? (e.g.the!Ifapplication involves state land, or taking quarry
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  Refer to the."potes at the -e’l~"of tMs’form,!or more                                       informatio~)                       ..
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     ~ No                                                     D Yes-complete table G

     Table G-state owned resources (provide details for each state resource in a separate table)

     Nature of state-owned resource                                    ....




     Nature of evidence required (tick the

     applicable box and attach a copy of the                                        D           Evidence of an allocation of, or an entitlement to, the resource
     evidence to this form)


                                                                                                Evidence the chief executive of the department administering the
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         --~~,_.__      __--".,
                                                              .=~. ~-               D
                                                                                               ~s(JTJrce=iS"’Satisfied-the~deY_elQRrnentjs c9nsisteru.,with an allocation
                                                                              --_    -




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                                                                                                of, or an entitlement to, the resource


                                                                                    D            Evidence the chief executive of the department administering the
                                                                                                 resource is satisfied the             development application may proceed in the
                                                                                                absence of an allocation of, or an entitlement to, the resource


                                                                                                                                                                                           ’I’I’
     l~.~lieinti~kan ofJH <<following..appl~ t’b~th’~~r~m~s..e~ (tic~ ~PPIi’.ab~e box/es):                                                     "
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     D adjacent to water body, watercourse
                                      a                                             or   aquifer (e.g.creek, river, lake, canal)-complete table H

     D          on     strategic port land under the Transport Infrastructure Act 1994-complete table I

                in a tidal water area-complete table J
     D

  Table H                     Name of water body, watercourse or aquifer




                                  4                                                                                                                Application deta ls-IDASform 1
                                                                                                                                                        Vers on 1.0 18 December 2009