08/0215 - Op Works - Landscaping, Sediment & Erosion, Frontage Stormwater, Filling, Car Parking & Acess [As Published] · 142008.215

INTEGRATED PLANNING ACT 1997 Part A, Version 2.4, 29 May 2006
d dua Sangent 0 tre making ofthis application:

   
 
 
 
  
 
 
   
 
 
 
  
  
 

 

 

 

Name Signature Date
RET - BRACKET, a L
 Uycomn. RRNCREN | 5 ‘a Be hola elute

    

 

 

 

 

 

 

 

Protection and Management Act 1995)?

ES™.90 fo 022

lication is accompanied by evidence: (tick applicable bor)

(i). .of the allocation of, ar entitlement to, the resource - attach evidence and go to 023(v)

EA) the chief executive of the department administering the resource is satisfied the

developmentts consistent with an allocation of, or entitlement to, the resource - go
£0023...

i);:the Chief.6 acutive of the department administering the resource is satisfied the
,developme cation: may.proceed In the absence of an allocation of, or
i SQUIER ~'go to. O23

ent: we
Mince entitlement:/ authority details

  
 
  

(vil) Official stamp of the department
administering the resource (if
applicable)

 
   
   

 

 

 

 

 

 

 

 

 

vende of evidence — |

2 IDAS Assessment Checklist completed and attached to this application?
ae (NO- the asséssment manager may refuse to accept this application on the
grounds that the application has not been property made

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may refuse to accept an application that, af the time of lodgement, fails to provide al! applicable information required by Part A
and any other relevant part af Form 1

 

OFFICE USE ONLY (applicable to assessment managers)

     
  
 

T REFERENCE |”
| NUMBERS |

 

 

fit of Private Certifier:Qntional fomet :
jegadas the prlvale certifies for the building work referred to in this application \

 

 

Signature: