MCU12/0041 Development Application part 1 of 2 IDAS forms 1 429 Kennedys Rd Pomona

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



o No
I:8J   Yes   -

                 complete either table D,table E or table F as applicable



Table D (note:do not complete this table if lodging the application on-line using Smart eDA)



Name of ownerls of the land               Darren John Knowles and Maree Olivia Knowles


IIWe,the above-mentioned ownerls of the land, consent to the making of this application.


Signature of ownerls of the land             ~yl                        \

                                                                            ~
Date                                          14.~"]_.                         \4.’!). \L..-

Table E



Name of ownerls of the land


 o The owner’s written consent is attached or will be provided separately to the assessment manager

Tabl     F



Name of ownerls ofthe land


        By making this application, I, the applicant, declare that the owner has given written consent to the making of
 o the
           application.


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)



[8l No                                   DYes    -

                                                     complete table G


10. Identify if any of the following apply to the premises (tick applicable box/es)



o         adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) complete table H
                                                                                              -




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




o         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.)


[8lNo 0Yes            -
                          ensure the   type, location and dimension of each easement is included in the plans submitted




                                                                                                  Application Details   -
                                                                                                                            IDAS form 1
                                                                                                    Version 1.0 18 December 2009