Development Application for permit to damage vegetation - 15 Blackbean Court Black Mountain · OPW12/0394

                                                                                                                                                                               -’




    ODD
Table E


Name ofowner/s of the land


D The owner’s written consent is attached                         or will be   provided separately to the assessment manager




Table F

Name of owner/s of the I~nd
                                                                                                                                                                                    _f’


D By making t~is application, I, the applicant, declare that the                                          owner has             given written consent to the making of the
application.




E3’       No                                           D 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
                                                                    D      Evidence of an allocation of, or an entitlement to, the resource
 evidence to this form)


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


                                                                    D          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




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

  D         on   strategic port land under the Transport Infrastructure Act 1994-complete table 1

  D         in a tidal water area-complete table J




 Table H                 Name of water body, watercourse or aq uifer




                          4                                                                                                                Application details-IDAS form 1
                                                                                                                                                Version 1.0 18 Oecember 2009