09/1270 - Additional Plans/Owner's consent for MCU [As Published] · 132009.1270

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19-JAN-1971 @9:@2 From: Ta:Fax Pict

INTEGRATED PLANNING ACT 1997 Past A. Version 3.1, 3) March 2008
Tebte D Compete 1 the premises are adjacent to of associatod with a water body, watercourse o7 aquifer &.9 say, crnck Hike. c nad
Namo cluster body watecae :
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Tablo E Complate it the promices aro on Stmtngic Port Lond under the Transport inirasinucture Act 1994

Lot on pian description for etratagee post fancy 1 Robern far okt

a
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Table F Complete if the premises are in tidal water

 

 

 

 

 

 

 

 

 

Nome of focal goveanment thy tua Bat ares (2 apyee see : ty & ay
3. Indicate the toto! area of the premises on which the development is proposed (owe The tatal ar, may seats band both ahavo Sid besten ses,
Total sren of premaae.
604.40 (der? (nectaes
a i A

 

 

 

Exiting oa af the pega.
4. Current usels of tho premises. (eg. vaca tind. house: townhousss yaunmen building ston evict: catia achat Sugar cant Faeming t1¢.)
(Pec ee :
5. Art there any existing easements on the premises? (c.g. far votaculit ace x: cheney overtand Low, wester ote J?
PANO [7] Yes rege ey : ' : :
Brogetsal dctaits
6 — Bret descnption of the proposal 1g. 6 unit gpartmenl Dusting. 30 lot reeds! sutadwegon 3 boc sgurcicurt)
pupa few single residence
7 Does the poposal include new buildings or operational work (including any services) on the premises?
(no Bd Yes- iru , Laiaet kone ‘ :

eangyae ent ar
AESOMISS CH

 

 

sete neat en se epmmanaome

 

   

ret dep eae tae wrk ' Rote

 

§. Docs the application involve taking of intartaring with 3 State resource and therefora mquire a resource entitlement? (0g tho upph.men
inves State land ficasod ang freenoty), deciamnd Fin Hotdal‘aeas, Lakng quony matsrw) making at inuerferng wah wales uevicr thn Wile Act 00 cir}

Bx} No. zene (7) Yes «:

 

Oheacr. consomt Coulee hp ow ;

9. Complete Tuble H for applications mvatving a material change of use, racanfiguration af a lot work an land below high-water mark and
not within a canal as defined under the Cuastal Protection and Managurnint Act 1995. of wurk on rail corridor land datined under te

 

   
 
  

 

 

Transport intrastructuro Act 7994-2... . . i.
Hans 1 ~~ 7 Premsea Owners nama | ° “Donuts af the pre -
pease and postal addins =| riot aduiess ox

K & J Fairs
1/84 Lorrikeet Drive, Perigian | Lot 32 SP 111721
___| Beach a

 

 

 

* Owne’s clgnaiire cannol bo pravidod on tho form if you intend to Cubmit Bia dopicalnn alorbyncelly Owner's ¢2n
atiuchment containing sepropriate wrilten voawnariton oi tha owner's consent tf tho omner fe 3 company, 2127 63 ied
company May sign as owner Templates for the provision of owner's Cosmant am evaiabio on INO L: + ¢ *