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

  DDD
Table E

                                                                                   Q.E.S ~c W’1\1LF...v\EN1
Name of owner/s of the land
                                          1- ~SE- pttt’fA- \(..S..Oc
                                                                                                   LE.’1’te.R.    .




[pl   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               I
D By making this application, I, the applicant, declare that the owner has given written consent to the making of 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)



D       No
                                   ~ 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               Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)                           ~
                                                      Evidence the chief executive of the department administering the
                                                 D
                                                      resource is satisfied the   development is consistent with an allocation
                                                      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



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




Table H        Name of water body. watercourse or aquifer


                tJ oo~~ t.\vElt


               4                                                                           Application details-IDAS form 1
                                                                                             Version 1.0 18December 2009