Development Application Part 1 of 2 - IDAS Forms 1 & 6 and Cover Letter - OPW13/0033

(ODD
6. Current usels of the premises (e.g. vacant land, house, apartment buiding, cane farm, etc.)                                            3




          11 1   restaurant




7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


restaurant to be refurbished / replanned


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



I:8l   No

DYes complete either table 0,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


IlWe, 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


o 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
 0 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)
                                                                                                011..11 I’ll      ~




I:8l No                                 DYes    -

                                                    complete table G


                                                                                              c~
                                                                                                     ~,         tS’
10. Identify if any of the following apply to the premises (tick applicable boxles)            IJi
                                                                                                     ~
                                                                                                          ti.
                                                                                                                      y",,1
                                                                                                                                   <.’l

                                                                                                                              :-




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




                                                                                               Application Details                            -
                                                                                                                                                  IDAS form 1
                                                                                                     Version 1.018 December 2009