07/1571 - Operational Works - Carparking & Access, Stormwater Drainage & Excavation [As Published] · 142007.1571

3D

INTEGRATED PLANNING ACT 1997

Part A, Version 2.4, 29 May 2006

 

Land owner's consent (if applicable) 20.

* Section 3,2.1(3) of the IPA praseribes that an
application must contain, or be supported by, the
‘written consent of the tand owner’s, if the application
involves:

(i) amateriel change of use;

(i) reconfiguration of a lot,

ii) work on land below high-water mark & not within a
cane as defined under the Coastal Protection and
Management Act 1995;0r

(iv) work on rail corridor land defined under the
Transport Infrastructure Act 1994,

Section 3.8.1(2){2) of the IPA provides that

tandowner's consent is pot required for a mobile or

, temporary ERA.

For more information refer to Guide 1 ~ ee

Land owners consent to the making of this application:
Name

 

Signature Date

 

(i) — Department of Natural
Resources

 

 

 

 

 

 

 

Resource entitlement (if applicable) 21.

Section 3,2.1(5) of the [PA requires evidence of
resource entittement be given for apptications that
involve a prescribed State resource,

Section 3.2, 1(10)(a){fi) of the IPA prescribes that an

application cannot be taken to be properly made 22.

without evidence of the resource entitement,

Advice for completing 021 & 22

Refer to schedule 10 of the Integrated Planning
Requiation 1998 that prescribes the nature of evidence
Tequired by the State in support of the lodging of this
development application.

Advice for completing 23 23,

The information in (i) - (v) is mandatory if evidence is
required under (122 (1) or {ti} above,

The official stamp of the Department of Natural
Resources, Mines and Water ts mandatory where the
application involves any water or riverine quarry
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
completed if the evidence is time limited,

Assessment triggers 24,

Does this application involve a State resource prescribed under a regulation (other than involving
quany material on State coastal land under the Coastal Protection and Management Act 1995)?

LEXI NO - go to a24 DYES - go to a22

This application is accompanied by evidence: (tick applicable box)
(J (i) ofthe allocation of, or entitlement to, the resource — attach evidence and go to Q23(vi)

(1 (ii) the chief executive of the department administering the resource is satisfied the
development is consistent with an allocation of, or entitlement to, the resource - go
to. Q23

CO (iii) 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 to Q23

Evidence of the resource entitlement:

(i) Resource entitlement / authority details (vii) Official stamp of the department
administering the resource (if
appiicable) _

 

(ii) Name of seen officer
(iii) Position of a officer

(iv) Signature of delegated officer

 

 

 

 

(v) Date

Lo

(vi) _ Gate of evidence (it applicable)

Is the IDAS Assessment Checklist completed and attached to this application?

 

 

 

 

teeomeiond Pak hecBelicronom tr | — DIYES (NO - the assessment manager may refuse to accept this appiication 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 apptication:

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

 

 

Plan / Drawing / Report Number
0626-OP-1F

Tite

  
    

 

 

()

 

Archi

 

a)

 

 

 

 

 

 

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

OFFICE USE ONLY (eppiicabie to assessment manager's)

FEE (S) ‘ [ DATE

(37 RECEIVED

| 873] 2 C7fs7a, |

 

| Nal =o IPs Kren a, | Raoween NUMBERS
U