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06/2361 - MCU Multiple Housing Type 2 Duplex [As Published] · 132006.2361
INTEGRATED PLANNING ACT 1997
Land owner's consent (7 applicable)
Section 3.2.1(3) of the IPA prescribes that an
application must contain, of be supported by, the
written consent of the land owner/s, if the application
involves:
() amaterial change of use;
(i) reconfiguration of a lot;
{ill)_ work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995;0r
(iv) work on rail corridor land defined under the
Transport Infrastructure Act 1994,
Section 3.8.1(2}{a) of the IPA provides that
landowner’s consent is not required for a mobite or
temporary ERA.
For more information refer to Guide 1.
20.
Part A, Version 2.4, 29 May 2006
Land owner's consent to the making of this application:
Name
Signature Date
() MARK BENNETT =]
Resource entitlement (if applicable) 21.
Section 3.2. 1(5) of the IPA requires evidence of
resource entitlement be given for applications that
involve a prescribed State resource.
Section 3,2.1(10)(a)(ii) of the IPA prescribes that an 22
application cannot be taken to be properly made
wilhout evidence of the resource entitlement,
Advice for completing 024 & 2:
Refer to schedule 10 of the integrated Planning
Regulation 1998 that prescribes the nature of evidence
required by tha State in support of the todging of this
development application.
Advice for completing Q23
Tha information in (i) - (v) is mandatory if evidence is
required under Q22 (ii) or (iii) above,
The official stamp of the Department of Natural
Resources, Mines and Water is mandatory where the
application involves any water or riverine quarry
material under the Water Act 2000.
Section 3,2.1(5A) allows the resource manager to limit
the time the evidence may be used. Q23 (vi) must be
completed if the evidence is time limited,
Assessment triggers
This checklist does not apply if the application requires
the completion of Parts A and B of the Form only. It
must be completed for all other apptications,
23,
24,
Does this application involve a State resource prescribed under a regulation (other than involving
quarry material on State coastal land under the Coastal Protection and Management Act 1995)?
NO - go to. Q24 [YES - go to a22
This application is accompanied by evidence: (tick applicable box)
[1 (i) of the allocation of, or entitlement to, the resource ~ attach evidence and go to Q23(vi)
C1 (ii) the chief executive of the department administering the resource is satisfied the
development is consistent with an allocation of, or entitlement to, the resource - go
to Q23
C (iii) the chief executive of the department administering the resource is satisfied the
development application may proceed in the absence of an allocation of, or
entitlement to, the resource - go to Q23
Evidence of the resource entitlement:
(i) Resource entitlement / authority details (vil) Official stamp of the department
administering the resource (if
applicable)
(ii) Name of — officer
(iii) Position of — officer
(iv) Signature of delegated officer
(v) Date
(vi) ee date of evidence (if —
Is the IDAS Assessment Checklist completed and attached to this application?
YES
oO NO ~ the assessment manager may refuse fo accept this application on the
grounds that the application has not been properly made
Pians / drawings / reports
An application should be accompanied by details to
support he proposal & enable the assessment
manager, referral agencies and any person viewing
the apptication during public scrutiny or public
notification to understand the scope of the proposal
and any potential impact.
25
. Plans/drawings/reports accompanying this application:
Plan / Drawing / Report Number Title Date
00663 - A Proposal Report Oct2006
(i) DAA. ——~—~S~S*~*~*~*~*~*~CRorplzns =SSt*~*~*~*«wC OCS
(iv) DAO3A
Landscape Plan & Section
PLEASE NOTE: The assessment manager may
fefuse to accept an application that, at the time of lodgement, fails to provide alt applicable information required by Part A
and any other relevant part of Form 1.
OFFICE USE ONLY (applicable to assessment manager's)
DATE
RECEIVED
| FEES) So
REFERENCE
NUMBERIS
[oSfefole |Site P> Srna | ce]asi_|
To.
Date ofengagement: / { Accreditation Nu
Notification of Engagement of Private Certifier (Optional forma}
Council. | have been engaged as the private certifier for the building work referred to in this application.
mber. __ Name: Signature:
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