Development Application part 1 of 2 IDAS Form 1 & 5 MCU11/0178

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


q   No

® 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

 q 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         Simon and Heidi Cronin

       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                              q Yes - complete table G



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


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

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

q        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.)

    No    q Yes - ensure the type, location and dimension of each easement is included in the plans submitted




                                                                                            Application De!ails - IDAS form I
                                                                                              Version 1.0 18 December 2009