IDAS form 1 · OPW12/0427

Tabte E

Name of owner/s of the land


f] fne 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, l, the applicant, declare that the owner has given written consent to the making of the
apptication.


                                                                                               land, or taking quarry materials.
9. Does the application involve a state resource? (e.g. the application involves state
Refer to the notes at the end of this form for more information)


                                            Yes-complete table G
VNo                                  tr

Tabte G-state owned resources (provide details for each state resource in a separate table)
                         ----..---------_
Nature of state-owned resource                     I




Nature of evidence required (tick the
applicable box and attach a copy ofthe                      Evidence of an allocation of, or an entitlement to, the resource
evidence to this form)
                                                       I

                                                            Evidence the chief executive of the department administering the
                                                       Ll   resource is satisfied the development is consistent with an allocation
                                                            of, or an entitlement to, the resource


                                                       n    Evidence the chief executive of the department administering the
                                                            resource is satisfied the development application may proceed in the
                                                            absence of an atlocation of, or an entittement to, the resource


 ro. ldentify if any of the fottowing appty to the premises (tick applicable box/es)


 u      adiacent to a water body, watercourse or aquifer (e.g. creek, river, [ake, canal)-comptete table H

 tr     on strategic port land under the Transport lnfrastructure Act 1g94-complete table I


 n        in a tidal water area-complete table J



Tabte H         Name of water body, watercourse or aquifer




                                                                                                               .'   .' ,-IDAS form t
                                                                                                     Version t.a t8 DecemLter 2oo9