Development Application - Part 1 of 2 - Covering letter & IDAS Forms 1 & 28 · OPW11/0144

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


U No

Z 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                                                  (e ' -   y        t vrjc 5,6


Date                                I     F I 2 C `\


Table E


Name of owner/s of the land


 F1 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
                                    L

       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)


    No                           ® Yes - complete table G