Development Application forms 1, 23 & 28, Covering Letter · OPW12/0139

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     a copy of the certificate of title for the land   (including tidal land)that would abut   I;K1 confirmed
     or       adjoin the proposed works

     details of how the proposed work addresses the IDAS code for prescribed tidal
                                                                                                                       kVlA-<-t+6’>
     work in the Coastal Protection and Management Regulation 2003. schedule 4A
                                                                                               [fJ   confitmed



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     details of the largest vessel. if any. to be moored at the structure                            conflrmed

                                                                                               ~     not applicable
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     evidence that the proposed work will not prejudice the access rights of adjoining         D confirmed
      property owners in the form of:
                   .   letters of support from adjoining property owner, or
                                                                                                                           r0   J It
                   .   plans illustrating a water allocation area

      For applications within a cul-de-sac, a bend in the waterway or other location where the side boundaries of the lot
     connect to the work and neighbouring lots are not at right angles to the waterway


     photos of any constructed neighbouring structures or information about                    D confirmed                ~IA       .




     approved but un constructed neighbouring structures
                                                                                               D not applicable

     Privacy-please refer to your assessment manager for further details on the use of information recorded in this form.



     OFFICE USE ONLY


      Date received                       <:’\:. ,<:_
                                                   ’                I   Reference numbers            c:;,~       ’-~-           ~9




     The Sustainable PlanningAct 2009(SPA)is administered by the Department of Infrastructure and Planning. This form and all
     other required application materials should be sent to your assessment manager and any referral agencies.




                        3                                                                      Prescribed tidal work-IDAS form 28
                                                                                                     Version 1.0 18December 2009