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07/0344 - MCU - Preliminary building work assessable against planning scheme [As Published] · 172007.344

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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 1PA prescribes that an Name
application must contain, or be supported by, the

written consent of the land owner/s, if the application

th omatel change of use; - ) a A hn qi hk bil

{li} reconfiguration of a lat; ti)
(iil) work on tand below high-water mark & not within a if tW ‘
canal as defined under the Coastal Protection end) =|. _S oe LW! h itoke Cod
Management Act 1995;or -

(iv) work on rail corridor tand defined under the (iii)
Transport infrastructure Act 1994.
Section 3.8.1(2){a) of the [PA provides that m
landowner’s consent is not required fora mobile or (iv)
temporavERA, fbn nen nnn nnn nnn eee n en een nner reece
For more information refer to Guide 1. , (v)

 

Date

Lee 2/2177.
23/02/07 |

 

   

 

 

 

 

 

 

 

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 1 995)?
resource entitlement be given for applications thal

TXINO -go to a24 0 YES goto 22 ~

involve a prescribed State resource. bee
application cannot be'taken'to be properly made’ |-22. ‘This application is accompanied by evidence: (lick applicable box)» .

Section 3.2.1(10}{a)(il) of the IPA prascribes that an ‘
- wiloutevidence ofthe resource entlement. - ) - [) (i) ofthe allocation of, or entitlement to, the resource — attach evidence and go to Q23{u)
Advice for completing Q21 & 22
Refer to schedule 10 of the integrated’ Planning CD (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 fo, the resource - go
tequired by the State in support af the lodging of this 10 023 —_——————————
development application. .
: ‘ :(] (ili) 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.a23

 

 

 

 

           
   
  
  
   
   

 

ut,

23. “Evidence of the resource entitleme:

 

Advice for completing Q23 ,
‘The information in (i) — (v) is mandatory if evidence i
Tequired.undar’Q22 (iij‘or (iii):above. *
The official stamp of the Department of Natural an
* Resources, Mines and Water is mandatory where the - ~"1 applicable)":
application involves any water or riverine quarry." ta .

material. under the Water Act 2000. a
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 time ted.

 

 

 

 

 

 

 

 

 

 

pene of evidence (if applicable) -*- 2 :

 

 

 

 

 

Assessment triggers 24. Is the IDAS Assessment Checklist completed and.attached to this application?

Feet ol Pak amor eh “BY YES (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 i 25, Plans/drawings/reports accompanying. this application: site

Suppo popes! & enable aearnent bole. Plan / Drawing / Report Number Title Date
Io eesiaton dutty poi oaety oreuhie (i) Please refer to attached list

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 alt applicable information required by Part A
and any other relevant part of Form 1.

OFFICE USE ONLY (applicable to assessment manager's)

FEES DATE RECEIVING OFFICER'S | REFERENCE
‘) RECEVED | NAMEIS i NUMBERIS

Notification of Engagement of Private Certifier (Optional formal)

 

' To. Council. | have been engaged as the private ceriifier for the building work referred ic in this application.

Date orengagemeny i 4Kccrediafion Number, __ Name: Signature:

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