Development Application - Part 1 of 2 - IDAS Forms 1 & 6 and checklist 4 · OPW11/0227

8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


® No
q   Yes - complete either table D, table E or table F as applicable



9. Does the application involve a state resource? (e.g. the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)


® No                            q Yes - complete table G



10. Identify if any of the following 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

q      on strategic port land under the Transport Infrastructure Act 1994 - complete table I

       in a tidal water area - complete table J


11. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
    water, etc.)


q No ® Yes - ensure the type, location and dimension of each easement is included in the plans submitted

12. Does the proposal include new building work or operational work on the premises? (including any
    services)

q No ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted


13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
    end of this form for more information)


® No - Go to question 15                   q Yes


15. Has the local government agreed to apply a superseded planning scheme to this application under
    section 96 of the Sustainable Planning Act 2009?


® No
q    Yes - provide details below


16. List below all of the forms and supporting information that accompany this application (include all IDAS
forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question does not apply for applications made online using Smart eDA)

                                                                                                Method of lodgement to
                             Description of attachment or title of attachment
                                                                                                 assessment manager


            1    SEE ATTACHED LETTER



17. Applicant's declaration


 ® By making this application, I declare that all information in this application is true and correct (note: it is
     unlawful to provide false or misleading information).



                                                                                           App`: ='   De's   - IDAS form 1
                                                                                             Version 1.0 18 December 2009