IDAS Form 1

    

 

§. Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
mandatory requirement.)

 

w No C Yes—provide details below

 

List of approval reference/s Date approved (dd/mmi/yy) Date approval lapses (dd/mmifyy)

 

 

 

 

 

 

&. ls owner's consent required for this application? (Refer to notes at the end of this form for more information.) |

[No

Q Yes—complete either Table G, Table H or Table | as applicable

 

Table G

 

Name of owner/s of the land

 

We, the above-mentioned owner/s of the land, consent to the making6t this application.

 

Signature of owner/s of the land

 

Date

 

 

Table H

 

Name of owner/s of the land

 

 

Cc The owner's written consent is attacheg/r will be provided separately to the assessment manager

Table | J

Name of owner/s of the land /

 

 

 

 

 

C] By making this applteationd, the applicant, declare that the owner has given written consent to the making of the
application.

 

 

7. Does the application involve a state resource? (E.g. the application involves taking water or quarry material, or
interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory
requirement.)

 

 

 

DH no [] Notidentified whether or [7] Yes—complete Table J
not the application
involves a State
resource

 

Table J

 

Nature of state-owned resource (if identified)

 

 

 

 

IDAS form 1—Aprication detars
Version 2.0 33 Kéarch 2013