Development Application part 1 of 2 - Application forms MCU12/0066

                 .,


ODD
8. Is owner’s consent required for this application? (refer to notes at the end of this form for more
                                                                                                                  information)


o No
[8] Yes complete either table D, table E or table F as applicable
           -




Table D (note: do not complete this table if lodging the application on-line using Smart
                                                                                                  eDA)


Name of owner/s of the land


I/We, the above-mentioned owner/s of the land, consent to the making of this application.


Signature of owner/s of the land


Date



Table E



Name of owner/s of the land                R & K Scanlan


[8] 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


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



[8]No                                    DYes    -

                                                     complete table G


10. Identify if any of the following apply tothe premises (tick applicable box/es)



o       adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                              -




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




o       in a tidal water area      -

                                       complete table J

11. Are there any existing easements on the premises? (e.g. for vehicular access,
                                                                                                  electricity, overland flow,
    water, etc.)


oNo [8]Yes            -
                          ensure the   type, location and dimension of each easement is included in the plans submitted




                                                                                                   Application Details   -
                                                                                                                             IDAS form 1
                                                                                                     Version 1.0 18 December 2009