07/0545 - Preliminary Building Works assessable against the Planning Code [As Published] · 172007.545

 

INTEGRATED PLANNING ACT 1997

Land owner's consent (if applicable}

Section 3.2.1(3} of the IPA prescribes thal an
application must contain, or be supported by, the
writien consent of the Land owners, if the application
involves:

{) a material change of use,

{—) reconfiguration of 2 lot,

(8) work on land below high-water mark & not within a
canal as defined under the Coastal Protection and
Management Act 1995,0r

{¥)- work on rail corridor land defined under the
Transport Inrestructure Act 1994.

Section 3.8,1(2}(a) of the IPA provides that

fandowner’s consent is pot required for a mobile 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 7 Date’
9 Asrces Comoe be a a
On ein fe
(ii)
wo
Wo ET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

‘An application should be accompanied by details to
support the proposal & enable the assessment
manager, referral agencies and any person viewing
the application during public scrutiny or public
natification to understand the scope of the proposal
and any potential impact.

 

Resource entitlement (if applicable) - 21. Does this application involve a State resource prescribed under a regulation (other than involving
Section 3.2. 1(5) of the IPA requires evidence of quarry material on State coastal land under the Coastal Protéction and Management Act 1995)?
resource entidement be given for applications that
involve a prescribed State resource. i NO - goto. a24 YES - goto 922
sonication gamete taken tobe propery s thal an 22. This application is accompanied by evidence: (tick applicable box)
without evidance of the panied enliterent C1 (i) of the allocation of, or entitlement to, the resource - attach evidence and go to Q23(v)
Rafer to schedule 10 of the Infagrated Planning - (J (ii) the chief executive of the department administering the resource is satisfied the
Regutation 1998 that prescribes the natura of evidence i q i i i -
Raat by the Shee a te re whe development is consistent with an allocation of, or entitlement to, the resource - go
development application. a a . weg e a nee
O (ii) 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 fo Q23
Advice for completing 73 23. Evidence of the resource entitlement.
ee ae f {) is mandatory evidences (i) Resource entitlement / authority details (vil) Official stamp of the department
The official stamp of the Department of Natural administering the resource (if
Resources, Mines and Water is mandatory where the _ applicable)
application involves any water or riverine quarry (ii) Name of delegated officer _.
material under the Water Act 2000. CT
fection 82.14) allows the resoute wlan oii -
me : rust S a
a aha onion tt oa. (iil) Position of a officer
{v) Date
(vi) rem date of evidence (if applicable)
Assessment triggers 24. Is the IDAS Assessment Checklist completed and attached to this application?
This checks does not apply i! the application requires CO yes [INO - the assessment manager may refusa to accept this application on the
Ee eat rans a be epi ha rt ee ep nate
Plans | drawings / reports 25. Ptans/drawings/reports accompanying this application:

 

Pian / Drawing / Report Number

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of fodgement, fails to provide all applicable information required by Part A
and any other relevant part of Form 1. .

 

OFFICE USE ONLY (applicable to assessment manager's)

 

 

 

FEE) DATE RECEIVING OFFICER'S |
Notification of Engagement of Private Certifier (Optional format)
To. Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

Date ofengagement: / /

Accreditation Number:

 

___ Name: Signature: