Idas 1 · OPW16/0270

Department of Infrastructure, Local Government and Planning

 

 

4. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm etc.)

 

 

 

 

 

VY ace Le _A

 

 

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

 

 

(6 , (ee ove details below

 

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

 

 

 

 

 

 

PAD Io lo 122. 4\¥ lio

 

 

 

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

 

 

Yes—complete either Table F, Table G or Table H as applicable

 

Table F

 

Name of owner/s of the land

 

IWe, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land

 

 

Date

 

 

Table G

 

Name of owner/s of the land

 

 

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

 

 

Table H

 

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 the
application.

 

 

IDAS form 1-~Application detaiis
Version 4.2—-3 August 2015