09/0325 - MCU - Detached House [As Published] · 132009.325

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Table D Complete if the premises are adjacent to or associated with a water body, watercourse or aquifer (e.g. river, creek, lake, canal)

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Table E Complete if the

    
 

 

premises are on Strategic Port Land under the Transport Infrastructure Act 1994

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3. Indicate the total area of the premises on which the development is proposed: (Note: The (otal area may include tand both above and below water)

  

 

  
     

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e@ 4, Current use/s of the premises: (e.g. vacant land, house, townhouses, apartment building, shop, service station, school, sugar cane farming etc.)

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5. _ Are there any existing easements on the premises? (e.g. for vehicular access, alectricty, overland flow, water otc.)?
No oO Yes - Ensure the typo, location and dimensions of each easement are inchided in plans, submitted with the application

    

6. Brief description of the proposal (e.g. 6 unit apartment building,’ 30 fot residential subdivision, a bore, aquaculture)

 

New Dwelling and Swimming Pool

 

 

 

7. Does the poposal include new buildings or operational work (including any services) on the premises?
Oo No ba) Yes - Ensure the nature, focation and dimensions of the proposed works are included in plans, submitted with the application

  
 

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8. Does the application involve taking or interfering with a State resource and therefore require a resource entitlement? (0.9. the application
involves State land (leased and freehold), declared Fish Habitat areas, taking quarry material, taking or interfering with water under the Water Act 2000, etc.)

ix No -Go to Q9 . oO Yes - Complete Table G - provide details for each evidence required on a separate row, if applicable. Evidence of resource
e@ . allocation or entitlement must! be submitted with the application. You do no! need to answer Q9 - go to the next section.

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9. plete Table H for applications involving a material change of use; feconfiguration of a lot; work on land below high-water mark and
not within a canal as defined under the Coastal Protection and Management Act 1995; or work ‘on rail corridor tand defined under the = *
Transport Infrastructure Act 1994 - provide details for each owner an a separate row, or an an attachment to this form if applicable.

  
 

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Table H

 

 

   

 

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* Owner’s signature cannot be provided on the form if you intend to submit the application electronically. Qwner's consent must ba provided to the assessment manager on an
attachment containing appropriate written documentation of the owner's consent. If the owner is a company, $127 of the Corporations Act 2001 (Cwealth) details how a
company may sign as owner. Templates for the provision of owner's consent are available on the IPA\ ‘

    

   

Table | papel cu f se noe ; mien ee

7 TPlans 2008/050-1C,20,37C | Architectural plans “| a7-Jan-2009 [mail
2 Form D, Title & RP Plan, Letter, IDAS | Checklist ' mail