0015367E.001

;
           INTEGRATED PLANNING ACT 1997                                                                              Part D, Version 2.0, 4 October 2004 :
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            PAY                 Form 1 Development Application                                                                        idas            |
                                                                                                                                                       ‘
                                  Material change                                       ofuse                             &                           |
                                                     2
                      assessable against a local government’s planning scheme                                             <q                           |

               7+.“       $   Gémpletion ofall applicable questions on Part Dis mandatory forall applications involving assessmenlofai..
          ho   FF    eS material changé of use (MCU) assessable against a local governments planning schemie,         3.    fet.       fee
          Nature of the application - =      .}1.   This application is for::(tick 1 arboth iteppicable) =
          “A development permit auises   =    |    <* (Preliminary approval for a material change of use of premises including conceptual:
.         "approval s'a'step inthe approval proces ~*~. deSiGN for any associated works that require approval under the’planning scheme (ie.
           "and does not authorise development to occur. . _,,fonsideration of the proposal concept) foe “     a      hs     oe  a     a    oF
                             oe          ef            ANDIOR
     @.                 =    &     ©   -4 "|      © Ba vevelopment permit for a material ondnge of use Gt prises incuding oceptial >
                                      |, design for any associated works that require approval under the planning scheme.”
           The subjectland    ~~        «>  *-12.   "How the slbject land is identified in the plannirig scheme (name thé zone, precinctetc)
          For the definition of “grass floor area" go to -.| [SemiattachedHousing   st—<‘“—sSsSSCSCSsiSY re ing         _—                  "
           thé planning scheme against which the = |" Semi-attached Housing                     ESC   SR              $$    —____-—__—
            application willbe assessed. ge]                        Es
                                              8    Bising ross tooraresapieaniy           [WA                                             id
                  ae :      —_           ;    [4.   Are there any existing easemients on the land?    po                              -    .
                        : ee       oN.        _|-__... LAYES “attach plans ofthe Ingalion et dati oft purpose df tie eacernent SO    a     ss
            Matar  chang gdh use act           5.   Details of the change to the use of the land: (eg. vacant land fo shopping centre, house to epaitment building,
                       See pe                  |    Vacant land to industry tyre manufacturing) etc) <i                           eB
                  RECEIVED              ="     |_|    Detached House to Detached House
             -   28 gue ona?                   pS                  EEE                                Oe
              -   ocacnacetinee           on]   (O  Numberofemloyess:
                 NOosasiie COUNCL        Laff                 Ng                    ago
            Pr taowreouites (A                C/'|7, operaing das andtous:      =    [WA
    @      AsSodlateg building vo fig dorks details (f A Gite ook, oo [ou                               + % = esp
            area’ and “storey” go to the planning scheme 2 Goss floor area: NA                               oo                 a
             Jainst which thi a li tion ilt be = A  , 2    one neil Geet le tated te. we    :    —_    aaa   be   Et Re             i TH   th,
            acest                          «10. Number of onsite car patking spaces:        [2spaces
            Tg                  ry              11. “Number of storeys / maximum height above natural ground:.” | 2 storeys / 8 metres
           PS          2       Le         “8    :     :    #;  Tee         “o   Spe   UD                          ye      =         es
           ee                                   |.  Hers ane dys te se wi ogre                                                                 :
           Associated operational works details |14. Details of associated operational works (eg. landscaping, Gut and fi, drainage, road works etc),
            lit a ii Abi ae . mS : oo     %     ‘    we     at ae    ap   me     HCH   2   ve    a     a        cei  BOs   a   heneNe Gees eit eg -
           Bee et    ae     Rie   of     be SHES ehh oa = EEE       He    UE   AR    Rp                ER   i            oe   Bee   wee   Ten
                                                                     PLEASE NOTE
                                         This application cannot be accepted unless accompanied by Part A of Form 1.
               The assessment manager may refuse to accept an application that, at the time of lodgement, fails to provide all applicable information
                                                  requested by Part A and any other relevant part of Form 1.
            OFFICE USE ONLY (appiicabie to assessment manager)
               .        CEIVED  © -                            } =: REFERENCE |: