DOC190912 · OPW12/0365

OO

Table E

 

 

Name of owner/s of the land

 

 

in 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, |, the applicant, declare that the owner has given written consent to the making of the
application.

 

 

 

 

(No L] 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 CL] Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)

Cl Evidence the chief executive of the department administering the
resource is satisfied the development is consistent with an allocation
of, or an entitlement to, the resource

O 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

 

 

 

 

 

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

Cl on strategic port land under the 7ransport Infrastructure Act 1994—complete table |

C] in a tidal water area—complete table J

 

Table H Name of water body, watercourse or aquifer

 

 

 

 

 

4 Application details—IDAS form 1
Version 1.0 18 December 2009