Development Application IDAS Forms 1 & 6 - OPW12/0447

   ODD
Table E

Name of ownerls of the land               I    C!_       -:r     o__,..-~r c__

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




Table F

Name of ownerls of the land               I
W’sy 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)




G1.. 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
evidence to this form)
                                                D        Evidence of an allocation of. or an entitlement to.the resource




                                                         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)


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

D in tidal water area-complete table J
          a




Table H        Name of water body. watercourse or aquifer




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