Development Application IDAS Forms 1 & 6 - OPW12/0283

16. Aug. 2012 15:40 SUNSHINE BEACH No. 4414 PF. 5

LOO

 

Table E

 

 

Name of owner/s of the land

 

I 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 Fam BLUETT

 

 

wm 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 taklng quarry materials,
Refer to the notes at the end of this form-for more information)

 

 

 

mw No LJ Yes—complete table G

 

Table G—state owned resources (provide details for each state resource ina separate table)

 

Nature of state-owned resource

 

Nature of evidence required (tick the

applicable box and attach a copy of the C] Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)

C] 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

L] Evidence the chief executive of the department administering the
resource [s satisfied the development application may proceed in the
absence of an allocation of, or an entitlement to, the resource

 

 

 

 

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

 

 

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

LE] in a tidal water area—complete table }

 

Table H Name of water body, watercourse or aquifer

 

 

 

 

 

4 Application details—IDAS form 4
Version 1.0 18 December z009