Development Application part 1 Forms REC2/0077

         ’ODD
         7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)


         Boundary realignment.

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



         o No
         C8J   Yes   -


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



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



                                                  Anthony John Philp, Pamela Rae Philp, Joanne Aileen O’Shanesy & Aileen Adele
         Name of ownerls of the land
                                                  Lister


         I/We,the above-mentioned ownerls of the land                    sent to the making of this application.




         Signature of ownerls of the land


         Date



         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

         Table F



         Name of ownerls of the 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)



         C8J No                                  DYes      -


                                                               complete table G


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




         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.)


         C8J No 0Yes          -
                                  ensure the   type, location and dimension of each easement is included in the plans submitted




                                                                                                               Application Details   -
                                                                                                                                         IDAS form 1
                                                                                                                   Version 1.018 December 2009


[OCR of page images]
~ OD:

 

7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)

 

Boundary realignment.

 

 

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

 

 

[J] No
X|_ 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)

 

 

|Anthony John Philp, Pamela Rae Philp, Joanne Aileen O'Shanesy & Aileen Adele

Name of owner/s of the land Lister

 

We, the above-mentioned owner/s of the land oor sent to the making of this application.

 

Signature of owner/s of the land’, safe AER f£. OShanery «. BL

 

 

Date LA fgeat © O47R2

 

 

Table E

 

 

 

Name of owner/s of the land

 

(_] The owner's written consent is attached or will be provided separately to the assessment manager

 

Table F

 

 

Name of owner/s of the land

 

 

By making this application, |, 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)

 

 

Xj No [_]Yes - complete table G

 

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

 

 

(] _ adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H
(_ _ on strategic port land under the Transport Infrastructure Act 1994 - complete table |
[| _ ina 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.)

 

 

 

[XINo_ [_] Yes - 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