07/0568 - MCU - Detached House [As Published] · 132007.568

INTEGRATED PLANNING ACT 1997

Land owner's consent (if applicable) - 20.

Section 3.2.1(3) of the IPA prescribes that an
must contain, or be supported by, the
‘written consant of the land owners, if the application
involves:
{) a mmaterid change of use;
@) reconfiguration of a lot,
fil). work on land below high-water mark & not within a
canal 3s defined under the Coastal Profection and
‘Act 1996:0r
(iv) -work on rail corridor land defined under the
Transport Infrestructure Act 1994.
Sackon 3.8.1(2}(a) of the [PA provides that
landowners consent is not required for a mobile or
temporary ERA .
For more information refer to Guide 1.

Part A, Version 2.4, 29 May 2006
. Land owner's consent to the making of this application:
Name Signature ~~ Date

 

 

 

 

 

 

 

 

Resource entitlement (if applicable) - 21,

Section 3,2,1(5) of the IPA requires evidence of
resource entitlement be given for applications that
involve a prescribed State resourve.

Section 2.2.1110MaiGi of the IPA prescribes that an

zpplication cannot be taken to bo property made | 22.

withoul evidence of the resource entitlement.
Advice for completing 021 & 22

Refer to schedule 10 of the integrated Planning -
Regulation 1998 that prescribes the nature of evidence
required by the Stata in support of the lodging of this
development application.

Attvice for completing O23 23.

The information in (i) - (v} is mandatory if evidence is
required under Q22 (ii) or (iti) above.

The official stamp of the Department of Natural
Resources, Mines and Water Is mandatory where the
application involves any water or riverine quarry
material under the Water Act 2000.

Section 3.2.1(5A) allows the resource manager 0 limit
the time the evidence may be used. 023 (vi) must be
completed if the evidence is time limited.

Does this application involve a State resource prescribed under a regulation (other than involving
quarry material on State coastal land under the Coastal Protection and Management Act 1995)?

NO - goto Q24 (J YES - goto. 22

‘This application is accompanied by evidence: (tick applicable box)

CA(i) of the allocation of, or entitlement to, the resource - attach evidence and go to 023(v)
(1 (il) the chief executive of the department administering the resource is satisfied the

development is consistent with an allocation of, or entitfement to, the resource - go
to. Q23

Lili) 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 fo Q23 ,

 

Evidence of the resource entitlement:

(i) Resource entitlement / authority details (vil) Official stamp of the department @
administering the resource (if
- applicable)
(i) Name of eens officer. :
{iii) Position of oe officer

(iv) Signature of delegated officer

 

 

 

 

 

(v) Date

(vi) rm date of evidence a

 

 

 

 

Assessment triggers 24.

This checktist does not apoly if the application requires
the compleion of Parts A and B of the Form only. It

ls the IDAS Assessment Checklist completed and attached to this application?
{Kl YES (71 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 ,|25. Plans/drawings/reports accompanying this application: @
po csresopaiehony phere plenme beerata Plan / Drawing / Report Number Tile Des Date
Tancmanaracmayerae” | | 0 Coad’ MGI 8 | Kise House/haner| SEPT Ob.
on ay Pte inpa 4) W9ABZ RD FOOTING, ¢ SHE DESIGN FEB 07
\ i) W933 DE | FRaette Desions | Magado7
[009 06/1063 EGE Nrerasee_INOV 06

 

 

 

 

 

 

 

PLEASE NOTE: The assessment manager may

refuse to accept an application that, at the time of lodgement, fails to provide all applicable information required by Part A

and any other relevant part of Form 1.

OFFICE USE ONLY (appiicable to assessment manager's)

 

rem S76 | tte. [9/>fop [ee PO Ken | tame |O7/stoe_|

To.

 

Dateofengagement / / Accreditation Nu

Notification of Engagement of Private Certifier (Optional format)

Council, | have been engaged as the private certifier for the building work referred to in this application.

 

imber. __. Name: Signature: