Development Application part 1 of 2 - Idas Forms 1 & 5 247-251 Gympie Tce Noosaville · MCU10/2022

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LI

Table E

 

 

 

 

Name of owner/s of the land

 

C] 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

 

 

C] By making this application, !, 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 tothe notes at the end of this form for more information)

 

 

A to [_] 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 [_]. Evidence of an allocation of, or an entitlement to, the resource
evidence to this form) : :

I 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

UC} _ 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 .

 

 

 

 

 

 

id. Identify if any of the fotlowing-apply to the premises (tick applicable box/es)

 

| adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete table H
CI on strategic port land under the 7ransport infrastructure Act 1994—complete table |

| ina tidal water area~complete table }

 

Table H Name of water body, watercourse or aquifer

 

 

 

 

   

Version 2.0 18 December 2009