0015062B.001

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                   INTEGRATED PLANNING ACT 1997                                                                                                      Part A, Version 2.4, 29 May 2006
                   {Land owner's consent (if appicable)     |-20. ‘Land owner's consent to the making of this application:                       a                           wt
                   4 application must contain, or be supparted by, te *,                    Name                                            gture                     Date
                   written consent of thé land ownar/s, if the application .                                                     “dy       A                                      3
                   : involves:               °          ‘                 i                                                             hbesg
                   : (fl) . reconfiguration of a tot; tk & not within a | (i)                                              JAY 4               ~                                   .
                    (li): work on tand below high-water mark & not within a ii                                           by?                      /-                    t         :
                   _   canal as defined under the. Coastal Protection and we MRP                QAEDA,                     NABAT POS...                                ff
                   "Management Act 1995,0r                                 ~                                                                            .
                   : iv), work on rail corridor tand defined under the et ill)                                                                                                     i
                   ce _ Transport Infrastructure Act 1994... -                               lec eee ewe ee cece bec eee e ce ecw ee eden cece nee cawe esc f ens cwennnenee 1
                   { Section 3.8.1(2}(a) of the IPA providesthat =. |’ le                                                                                                         :
                   * landowner’s consent Is ngt required fora mobile or 1 (iv)                                                                                                    :
                   : tgmporaryERA.   ~*~    Ca                         Yee    nnn ee nn enn            ne cen ee ee pee wn eee nn ne ee ee       tee tener fone seen een
                   } For more information refer to Guide 1,      :        (v)                                                                                                     i
                   ¢         .    :                 .   :        a                                                                                                                rc:
                   { Resource entitlement (i appicable)        | 21.   Does this application involve a State resource prescribed under a regulation (other than invotving- §
                    Section 3.2.4(5) of tha IPA requires evidence of   quairy/material on State coastal tand under the Coastal Protection and Management Act 1995)?.. ©        sk
                   : resource entitlement be given for applications that, af                                                          os
                   involve a prescribed State resource.             :       NO - go to 024           .             [J YES-go0toQ22_                       .             Leon
                   - Section 3.2.4(10){a}{i) of the [PA prescribes that an ;      tg      a             .          .      wie        a,                    Lo          (oe
                   i applcaton cannot ie lken to be property made 22. This. application is accompanied by evidence: (tick applicable box)              ee                          ‘
                    ee     ee          oot ea            “~~     -P “= FE] (i)  ofthe allocation of, or entitlement t6, the resource - attach evidence and go to. Q23(vi)°
                   j Rete i sche   10 of te Integrated Planning ” | ° {_] (ii). thé chief executive of the department administering the résoutce is satisfied the,             . -.
                   1 Tetuied by the Staten support ofthe dging ofthis | +      development is consistent with an allocation of, or entitlement to, the resource                go
                   3 Regulation 1998 that prescribes the nature of evidence | Meg                 consistent      with an:     sation  (       ntitlerr      :       y            a
                   ; development application.     OT                        oe         ;                            .           .      cae:                Ces         es
                   :                  .                   ‘.     |     [[} (iii) the chief executive of the department administering the resource is satisfied the                -
                    BS                                                     “development application may procéed in the absence of an allocation of, or.
       ©            i                        ~     ,     7      J      ="      entitlement to, the resource - go to 023                                   -             ‘         4
                   4         ry        cen          ns   .      yl  :   * wot      #  aa  e   . _?    k .     +7 .                 .   .           .                 .
                   j Advice forcompleting 2323.                         Evidence ofthe resoutce.entitlement             =.                                 tp dl
                    eee Me @aee                                  |:    (i)  . Resource entitlement’ authority details           __._~  {vil)Official stamp of the department
                    ; The official stanip of the Department of Natural S                                                              _     administering the resource (fF «
                    1 Resources, Mines and Water is mandatory where the |, .                       -     -                                  appficable                          “s
                    : application involves any water of riverina quarry“ (ii) Name of delegated officer
                    { Section 3.2.1(5A) allows the resource manager to fimit
                    i the tIme the evidenca may be used,” 023 (vi) must be i)   Pasiti             y                    ‘
                    emi       tet is fo                               (ii).       eT of delegated officer
                    i                        ee        -         Liv)          Pe         ~ officer.                               :
                                           EP                           vy Date                    oe                                                                              |
                    .           :  —       a                     >»     (vi) « Expiry date of evidence (it     appficable)    f                                   Se              |
                    ; Assessment triggers      _                  124:  ts the IDAS Assessment Checklist completed and attached to this application?                  =. -.  =    «4
                    " This checklist does not apply if the application requires + YES. -    .   +     E) NO - the assessment manager may refuse fo accept this application on the’
                    ; must be completed for all other applications. -. b  :                    oa                grounds that the application has not bean properly made  By i
                    4 the completion of Parts A and B of the Form nly. It                                                         :     :                      ”
                    'Plans drawings {reports              -~—=—-|'25. ‘Planis/drawings/reports accompanying this application: =.                                                    |
                     An application should be. accompanied by detailsto. | ~                ;                                                                   |     Date      |
                    | support the proposal & enable the assessment. = |         Plan / Drawing / Report Number                            Title                        Date
                           er,  refefral agencies and any person viewing   :
                    j manages, tferalouenciss aN ry,      wg
                    ; Notification: to understand the scope of the proposal: 4. - PEO) EtE apes, Tana essceranenccsaseccecenenencs LF “ 2.
                    1 the application during public scrutiny or public :   (i)    Pe-o/        Et.                                                                                 i
                    "and any potent mpc.                   —_              ()   ~Lorm             tans                     |:                                      (94/2
                                  oo.                                                 OB.          LMOSAAE LAG ne                                                  MOG /O.
                                               -                           (y                                                                                                      |
                                ~_                 2                      :                                                     =            =      =    —          —_—            wo
                     PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide al! applicable information required by Part A
                                         and any other relevant part of Form 1.
                                                err
                     OFFICE USE ONLY {applicable to assessment manager's
                     eel          $76.00 (atin                          7-5-2007            Se uaee          Varnda             Haley      [ene           | 007/411
                                                           ‘Notification of Engagement of Private Certifier (Optional format):                              ot,
                     To                              :             en      =: |  Council, Lhave been engaged as the private certifier for the building work referred to in this application.
                       Date ofengagement    ./   / | Accreditation Number;        wk __ Name:;                  __-                   _. Signature:                       a