00155885.001

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        ‘INTEGRATED PLANNING ACT 1997                                                                                                  Part A, Version 2.4, 29 May 2006
             Land owner's corisent (applicable)      "| 20. Land owner's consent to the making of this application:               ae                           ,            }
             application must contain, of be supported by, the 2
            written consent of the land owners, if the application ° : ) ¢ iWwawm     Berry                                                                     Cf
             involves:           mS            we    ate    SE         yee     be                                   SL                             /4-] cf
             (i) amateriatchange ofuse;              .        MAY VT.               >»    Ff. i    eee      4 RN ee                        feet ES /o7}
             (i) reconfiguration of a Jot, L   ee                       VAT AR.- F. /                             ;
             (iii) work on fand below high-water mark & not within at -. i)
               canal as definéd under the Coastal Protection and | + Stole reer             tay... voce eee eee fo beep
                Management Act 1995:0r    -       “             (i                                                                                                  :
             {iv) work of rail corridor land defined under the ‘ : a i
              Tanspotinfasinctu act 1994             Tf                  MOI AIM. |
             Section 3:8,1(2)(a) ofthe IPA provides that 2c |    .
            landowners consent is not required for amobiieor |. “| (iv)
             For more informatiori refer to Guide 1,            (v)                                                                                                         |
             Resourceentitlement (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 cf + —<_quarry'material on State coastal land under the Coastal Protection and Management Act 1995)?
            resource entitlement be given for anpficatiéns that :        nO          es                   a             Me                    Bt
             involve a prescribed State resource. . .       . DX] NO - goto Q24       &     “       ., LI] Yes = gotoQ22                      :      -
             Seéfion 3.2.1(10)(a)(i) of the 1PA prescribes that ee                                  Sg                 ay             NE                           a
            zppteion cannot ve tekan to be propetyinade 22. This application is accompanied by evidence: (tick applicable box)          PMR
            Niven              one.                        -  (1) of the allocation of, or entitlement to, the resource - attach evidence and go to Q23(v) =
                i    r completing O21 & 2:    #     :      -      aia   ce     NL                  vp     os       ie     :      oa     -   bb te ae           ‘s
            Refer to schedule 10 of the integrated Planning - | ~ [_] (ii) the chief executive of the department administering the resource is satisfied the   ~
             Regulation 1998 that prescribes the nature Ofevidence| -  de      nent  i      ‘i     t with an.      <atign of    entitiement to. tt     “0     SS
             required by the Staten support of the lodgig of his     developrient is consistent with an allocation of, or entitlement to, the resource =90
    @       - davelopment:application’”      “3     Sapo   Ry                          .     pee    ee   a                              bose     os    *,      s  |
               “|                      _     =      =|     3. C1 (iii) the chief executive of the department administering the resource is satisfied the
                “               :                   cn           = . development application may proceed in the absence of an allocation of, or
                so               Se                        -      -   entitlement to, the resource ~g0t0Q23                                             “
            Advice forconipletingQ23   ==        —      193   Evidence ofthe résourceentilement’”         =<:
             uit noone                                     ._ (i) ~Resoutce 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's riandatory where the | 2 7     =            LF     are                           -.. €pplicable) .      Es            so
            application involves any water ortiverine quay “* (ii) ?-Name of       delegated officer’ 8  |g         :
             - Section 3.2.1(5A) allows tha resource manager tofimit}        —                       ——                  -
            thé time the evidence may be used. 023 (vi) must be Fy.   Position    leaaied    officer.               :
             completed the evidence se   tind.             . (i)   Position —— Officer 3k
                         oo                         et        — officer                                            .
                                      |                             Dae
    @                              .                         (vi)   a date of evidence            a        So                                           Boe
             Assessmenttriggers          =       =———S=«&S 244. I the IDAS Assessment Checklist Completed and attached to this application?                  a
             This checklist does £ if the apptication requ      A     yee     :                        ee CaS            ee     ‘a       ot  dpi ee tins     pin
             the complefon oP enna  Meta tca ony It           &] YES          »     ..    LINO-the assessment manager may refuse fo accept this application on the
              must be completed for all other. applications.          .       E     ee              grounds that the epplication hes not been property made oe
              Plans/ drawings !reports          ==»   | 25.   ‘Plans/drawings/reports accompanying this application,»
              An   application should be accompanies ils to                      .                                   "      —
              manager, referral agencies. and any person viewing ,
             the appication during public scrutiny or public”   (i)
             notification to: understand the scope of thé proposal cr ntosrrsessccsesercccacs se cccsec ccc ece pace n nec cc cee cc eee eee a ene ae
              and any potential impact.            Sods         (ii)
              ee                                            |    li
             Cg                                                 (iv)
             PLEASE NOTE: The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A
                                and any other relevant part of Form 1.
              eee
             OFFICE USE ONLY (applicable to assessment manager's)
              Tee,”         ;                    DATE,                           RECEIVING OFFICER'S       :                     REFERENCE.
              FES)        1460-00                             (9-6 -07                                uertn Hern _| Fuses | 2007/57 _
                 HSS                ss               “Notification of Eigagement of Private Certifier (Optional format,
              To: a           ath    ee                     a      ___ Council. | have been engaged as the private certifi for the building work refered toin this application...
              “Date of engagement’, -/  4   Accreditation Number.                      Names                                Signatures.