07/1881 - Operational Works - Landscaping [As Published] · 142007.1881

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INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006

Land owner's consent (if applicable) 20. Land owner's consent to the making of this application:

Section 3.2.1(3) of the PA prescribes that an .
application must contain, of be supported by, the Name Signature Date

written consent of the land owne7!s, if the application
involes: i VIN TODD S cf 5 09:
a 2 mnatrial change of use; () COLVIN FO Qe. athae ol 06-09-07

(i) reconfiguration of a kot; 7 ue &
(i) work on land below high-water mark & not within a (i) PAUL LANSKEY 06-09-07
canal as defined under the Coastal Protection and
Management Act 1995;0r es
{iv} work on rail corridor land defined under the (iii)
Transport Infrastructure Act 1994,

Section 3.8.1{2}{a) of the IPA provides that

 

 

 

 

 

 

 

 

 

 

 

landowner’s consent is not required for a mobile or (iv)

femporaryERA, eee eee ne ee ee ee ee ee pene ee ne nner ree bee een nnn ee
For more information refer to Guide 1, (v)

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 Protection and Management Act 1995)?

resource entittement be given for applications that

involve a prescribed State resource. &X NO - go to Q24 O YES - go to Q22

Section 3.2.4(10}(a)(i) of the IPA prescribes that . ei . .
pplication SUOah of he to be propery ‘nate 22. This application is accompanied by evidence: (tick applicable box)

 

waveform ie "1 ee [1 (i) of the allocation of, or entitlement to, the resource - attach evidence and go to Q23(vi)
Refer to schedule 10 of the Integrated Planning CO (ii) the chief executive of the department administering the resource is satisfied the
Regulation 1998 that prescribes the nature of evidence development is consistent with an allocation of, or entitlement to, the resource - go

 

required by the State in support of the lodging of this

development application, to Q23

C1 iil) 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 Q23 23. Evidence of the resource entitlement:
Tha information in {i} - (v) is mandatory if evidence is

required under 022 (i) “ (i) above, (i) Resource entitlement / authority details (vii) 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.

Section 3,2.1(5A) allows the resource manager to limit

the time the evidence may be used, Q23 {vi) must be ‘il iti

completed if the evidence is time limited. (il) Position of delegated officer

{iv) Signature of delegated officer

 

 

 

 

 

 

 

 

 

 

 

 

(v) Date
(vi) pe date of evidence a
Assessment triggers 24, Is the IDAS Assessment Checklist completed and attached to this application?
Po ccrieden of P ot aot eer herenenke it es CIYeEs EX] NO - the assessment manager may refuse to accept this application on the
must be completed for all other applications, grounds that the application has not been properly made
Plans / drawings / reports 25. Plans/drawings/reports accompanying this application:
An application should be accompanied by details to . q
support the proposal & enable the assessment Plan / Drawing / Report Number Title Date
manager, referral agencies and any person viewing .
the application during public scrutiny or public (i) DRAWING NO. 07-3646 PROPOSED DUPLEX SEPT 07

Notification to understand the scope of the proposal
and any potential impact.

 

 

 

 

 

 

 

 

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.

 

OFFICE USE ONLY (applicable to assessment manager's) im
DATE RECEIVING OFFICER'S REFERENCE
ES) OS | oneenen | 7/9/e7 eee Ps Arena | wuneens: [C7 (FH

Notification of Engagement of Private Certifier (Optional formal NJ

 

 

To, . Council. | have been engaged as the private certifier for the building work referred to In this application.

 

 

Date ofengagement / / Accreditation Number __ Name. Signature: